Organization
CHARTER HEALTHCARE OF SAN ANTONIO, LLC
Active
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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