Organization
RUN REAL CARE FACILITY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIDIER RUNEZERWA (OWNER)
(207) 518-1102
Entity
Organization
Contact information
Practice address
6822 LIBERTY STONE, SAN ANTONIO, TX 78244-1377
(207) 518-1102
Mailing address
6822 LIBERTY STONE, SAN ANTONIO, TX 78244-1377
(207) 518-1102
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
—
—
3747A0650X
Attendant Care Provider
—
—
Other
Enumeration date
12/22/2021
Last updated
11/07/2023
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