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Organization

DORA DE SANTIAGO ADULT FOSTER CARE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DORA DE SANTIAGO (OWNER)
(210) 434-5257
Entity
Organization

Contact information

Practice address
211 ZACHRY DR, SAN ANTONIO, TX 78228-4157
(210) 434-5257
Mailing address
211 ZACHRY DR, SAN ANTONIO, TX 78228-4157
(210) 434-5257
(210) 434-5257

Taxonomy

Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
TX

Other

Enumeration date
04/20/2007
Last updated
09/25/2008
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