Organization
ESC IV, L.P.
Active
Other names
Emeritus at Kingsley Place Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
NOELLE DIAZ (LICENSING SPECIALIST)
(206) 301-4060
Entity
Organization
Contact information
Practice address
9000 FLOYD CURL DR, SAN ANTONIO, TX 78240-1549
(210) 697-0772
Mailing address
3131 ELLIOTT AVE STE 500, SEATTLE, WA 98121-1032
(206) 298-2909
(209) 301-4500
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
122904
TX
311500000X
Alzheimer Center (Dementia Center)
101624
TX
Other
Enumeration date
06/05/2008
Last updated
09/09/2009
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