| NPI | 1669614319 |
|---|---|
| Doing Business As | CHURCH STREET ASSISTED LIVING & ADULT DAYCARE |
| Entity Type | Organization |
| Authorized Contact | WILLIAM APPIAH-SIRIBOE CEO CFO & Counsel 210-363-9378 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Additional Taxonomies | 3104A0630X Assisted Living Facility, Assisted Living, Behavioral Disturbances |
| 311ZA0620X Custodial Care Facility, Adult Care Home | |
| Enumeration Date | 2009-03-26 |
| Last Update Date | 2010-04-14 |