Organization
DESTINATION INDEPENDENCE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SUSANNE DEITER (OWNER)
(210) 899-1920
Entity
Organization
Contact information
Practice address
103 BILTMORE ST STE 100, SAN ANTONIO, TX 78213-2260
(210) 899-1920
(210) 444-9556
Mailing address
103 BILTMORE ST STE 100, SAN ANTONIO, TX 78213-2260
(210) 899-1920
(210) 444-9556
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
01/27/2016
Last updated
01/05/2024
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