Organization
GREAT LIFE SERVICES, LLC
Active
Organization
GREAT LIFE SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GISELE L SANTANA (CEO)
(210) 656-1633
Entity
Organization
Contact information
Practice address
9033 AERO ST STE 101, SAN ANTONIO, TX 78217-6343
(210) 844-7487
(210) 579-1314
Mailing address
9033 AERO ST STE 101, SAN ANTONIO, TX 78217-6343
(210) 844-7487
(210) 579-1314
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
320900000X
—
TX
Enumeration date
05/04/2016
Last updated
01/05/2023
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