Organization
IJNA HOME HEALTH SERVICES LLC
Active
Other names
IJNA Assisted Living Facility, IJNA Nursing Services
Organization subpart
No
Provider details
NPI number
Authorized official
BRANDON A DIXON (ADMINISTRATOR)
(210) 314-8919
Entity
Organization
Contact information
Practice address
2379 NE LOOP 410 STE 117, SAN ANTONIO, TX 78217-5642
(121) 031-4891
(210) 314-8135
Mailing address
8915 NEW WORLD, SAN ANTONIO, TX 78239-2854
(210) 314-8919
(210) 314-8135
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
3104A0625X
Assisted Living Facility (Mental Illness)
—
—
3104A0630X
Assisted Living Facility (Behavioral Disturbances)
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
10/08/2020
Last updated
11/08/2021
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