Organization
ST. MICHAEL PROVIDERS LLC
Active
Other names
Provider Service
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ESTHER JADE SANMIGUEL (CEO)
(210) 960-2244
Entity
Organization
Contact information
Practice address
104 PARDO CIR, SAN ANTONIO, TX 78228-5025
(210) 960-2244
(210) 960-2240
Mailing address
104 PARDO CIR, SAN ANTONIO, TX 78228-5025
(210) 960-2244
(210) 960-2240
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
3747P1801X
Personal Care Attendant
Primary
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
11/19/2015
Last updated
02/22/2021
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