Organization
PREMIEANT INC
Active
Parent organization
PREMIEANT INC
Other names
Mapletree Home
Organization subpart
Yes
Provider details
NPI number
Legal business name
PREMIEANT INC
Authorized official
JEFFREY ENGELKE (PRESIDENT)
(512) 916-1632
Entity
Organization
Contact information
Practice address
12342 MAPLETREE ST, SAN ANTONIO, TX 78249-2429
(210) 525-1509
(210) 979-8047
Mailing address
1110 W WILLIAM CANNON DR BLDG 2, AUSTIN, TX 78745-5468
(512) 916-1632
(512) 916-1639
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
—
—
Other
Enumeration date
09/24/2019
Last updated
09/26/2019
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