# PARADISE INDEPENDENT LIVING, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1134837552
- **Authorized official:** BRIDGET J HALL (OWNER)
- **Authorized official phone:** (832) 893-9440

## Contact information

- **Practice address:** 4035 NACO PERRIN BLVD, SAN ANTONIO, TX 78217-2513
- **Practice address phone:** (832) 893-9440
- **Mailing address:** 3918 CLARK AVE UNIT 23389, SAN ANTONIO, TX 78223-0681
- **Mailing address phone:** (832) 893-9440

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 347C00000X | Private Vehicle | — | NULL | Yes |

## Other

- **Enumeration date:** 11/15/2022
- **Last updated:** 11/15/2022