Organization
CORPORATE ASSISTANT LIVING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. NENE ANGUM AKWAR (CHIEF FINANCIAL OFFICER)
(210) 349-4800
Entity
Organization
Contact information
Practice address
6323 SOVEREIGN ST, SUITE 172, SAN ANTONIO, TX 78229-5138
(210) 349-4800
(210) 349-5575
Mailing address
6323 SOVEREIGN ST, SUITE 172, SAN ANTONIO, TX 78229-5138
(210) 349-4800
(210) 349-5575
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
06/07/2007
Last updated
08/22/2020
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