Organization
SHARED VISION RESIDENTIAL CARE INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS JAMES ALLEN DDS (EXECUTIVE DIRECTOR)
(210) 977-8900
Entity
Organization
Contact information
Practice address
1339 W CHAVANEAUX RD, SAN ANTONIO, TX 78224-2607
(210) 977-8900
Mailing address
1339 W CHAVANEAUX RD, SAN ANTONIO, TX 78224-2607
(210) 977-8900
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
873470
TX
Other
Enumeration date
10/06/2007
Last updated
10/06/2007
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