Organization
SAN ANTONIO INDEPENDENT LIVING SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KITTY L. BRIETZKE (EXECUTIVE DIRECTOR)
(210) 281-1878
Entity
Organization
Contact information
Practice address
1028 S ALAMO ST, SAN ANTONIO, TX 78210-1170
(210) 281-1878
(210) 281-1759
Mailing address
1028 S ALAMO ST, SAN ANTONIO, TX 78210-1170
(210) 281-1878
(210) 281-1759
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
11/05/2008
Last updated
11/05/2008
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