Organization
CHARTER HEALTHCARE OF SAN ANTONIO, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SYLVIE BOAL (CORPORATE COUNSEL)
(909) 644-4965
Entity
Organization
Contact information
Practice address
2819 NW LOOP 410 STE C, SAN ANTONIO, TX 78230
(210) 979-9933
(210) 979-9932
Mailing address
2819 NW LOOP 410 STE C, SAN ANTONIO, TX 78230-5105
(210) 979-9933
(210) 979-9932
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
111751704
—
TX
Enumeration date
08/31/2012
Last updated
09/10/2021
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