| NPI | 1093894859 |
|---|---|
| Other Name | SAN ANTONIO STATE SUPPORTED LIVING CENTER |
| Entity Type | Organization |
| Authorized Contact | SCOTT SCHALCHLIN Associate Commissiner 512-438-3076 |
| Organization Subpart ? | No |
| Primary Taxonomy | 315P00000X Intermediate Care Facility, Intellectual Disabilities |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 207R00000X Internal Medicine | |
| 207W00000X Ophthalmology | |
| 2084N0400X Psychiatry & Neurology, Neurology | |
| 2084P0800X Psychiatry & Neurology, Psychiatry | |
| Enumeration Date | 2006-11-03 |
| Last Update Date | 2018-02-05 |