Organization
SUSAN HOMECARE INC,
Active
Parent organization
SUSAN HOMECARE INC,
Other names
Susan Residential Services
Organization subpart
Yes
Provider details
NPI number
Legal business name
SUSAN HOMECARE INC,
Authorized official
SUSAN FREDERICK (PRESIDENT/CEO)
(210) 360-9982
Entity
Organization
Contact information
Practice address
8426 CASCADE RIDGE DRIVE, SAN ANTONIO, TX 78239
(210) 630-9982
(210) 590-0866
Mailing address
8426 CASCADE RIDGE DR, DRIVE, SAN ANTONIO, TX 78239-4038
(210) 599-2508
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
TX
Other
Enumeration date
12/22/2006
Last updated
06/06/2019
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