Provider Demographics
NPI:1386077147
Name:SALUBRIS HEALTH SERVICES LLC
Entity type:Organization
Organization Name:SALUBRIS HEALTH SERVICES LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:AMADOR
Authorized Official - Middle Name:
Authorized Official - Last Name:RODRIGUEZ
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:915-859-8671
Mailing Address - Street 1:681 HORIZON BLVD
Mailing Address - Street 2:
Mailing Address - City:SOCORRO
Mailing Address - State:TX
Mailing Address - Zip Code:79927-4691
Mailing Address - Country:US
Mailing Address - Phone:915-859-8671
Mailing Address - Fax:915-859-3985
Practice Address - Street 1:740 TEICHELKAMP DR
Practice Address - Street 2:
Practice Address - City:HORIZON CITY
Practice Address - State:TX
Practice Address - Zip Code:79928-7436
Practice Address - Country:US
Practice Address - Phone:915-307-4590
Practice Address - Fax:915-307-4697
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-08-15
Last Update Date:2013-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility