NPI | 1831149095 |
---|---|
Doing Business As | SILVER QUAIL |
Entity Type | Organization |
Authorized Contact | MARC F MUCKLEROY Administrator 210-680-6768 |
Organization Subpart ? | No |
Primary Taxonomy | 315P00000X Intermediate Care Facility, Intellectual Disabilities (Licence: TX 115324) |
Enumeration Date | 2006-05-10 |
Last Update Date | 2020-08-22 |