Organization
I&A LIVING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSTREIN V GOODE (MANAGEMENT)
(210) 416-4585
Entity
Organization
Contact information
Practice address
6015 WHISPERING LAKE ST, SAN ANTONIO, TX 78222-3317
(210) 416-4585
Mailing address
21750 HARDY OAK BLVD STE 104, SAN ANTONIO, TX 78258-4946
(210) 620-8501
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
—
—
Other
Enumeration date
07/02/2024
Last updated
07/02/2024
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