| NPI | 1932697380 |
|---|---|
| Doing Business As | SAN JUAN LIVING CENTER |
| Entity Type | Organization |
| Authorized Contact | KEN PITTS Director Reimbursement Services 832-467-6793 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 385H00000X Respite Care (Licence: CO 1300) |
| Enumeration Date | 2018-05-01 |
| Last Update Date | 2018-05-01 |