| NPI | 1194199786 |
|---|---|
| Doing Business As | PROVIDER SERVICE |
| Entity Type | Organization |
| Authorized Contact | ESTHER JADE SANMIGUEL CEO 210-960-2244 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3747P1801X Technician, Personal Care Attendant |
| Additional Taxonomies | 385H00000X Respite Care |
| 251C00000X Day Training, Developmentally Disabled Services | |
| Enumeration Date | 2015-11-19 |
| Last Update Date | 2021-02-22 |