# ESPLANADE GARDENS SENIOR INC

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

## Provider details

- **NPI number:** 1801133152
- **Authorized official:** MS. ANNA C DIAZ -PETERSON (CAMPUS DIRECTOR)
- **Authorized official phone:** (210) 566-7600

## Contact information

- **Practice address:** 10790 TOEPPERWEIN RD, CONVERSE, TX 78109-2441
- **Practice address phone:** (210) 566-7600
- **Practice address fax:** (210) 566-7605
- **Mailing address:** 10790 TOEPPERWEIN RD, CONVERSE, TX 78109-2441
- **Mailing address phone:** (210) 566-7600
- **Mailing address fax:** (210) 566-7605

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3104A0630X | Assisted Living Facility (Behavioral Disturbances) | 030364 | TX | Yes |

## Other

- **Enumeration date:** 01/07/2013
- **Last updated:** 01/07/2013