| NPI | 1346386679 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ESEQUIEL HERNANDEZ CEO/Owner 210-843-4413 |
| Organization Subpart ? | No |
| Primary Taxonomy | 315P00000X Intermediate Care Facility, Intellectual Disabilities (Licence: TX 001018787) |
| Additional Taxonomies | 251E00000X Home Health (Licence: TX 01007452) |
| 315P00000X Intermediate Care Facility, Intellectual Disabilities (Licence: TX 000721501) | |
| 315P00000X Intermediate Care Facility, Intellectual Disabilities (Licence: TX 001018537) | |
| 315P00000X Intermediate Care Facility, Intellectual Disabilities (Licence: TX 001019163) | |
| 315P00000X Intermediate Care Facility, Intellectual Disabilities (Licence: TX 001020880) | |
| 315P00000X Intermediate Care Facility, Intellectual Disabilities (Licence: TX 01021060) | |
| Enumeration Date | 2007-01-30 |
| Last Update Date | 2024-06-24 |