Organization
SPECIALIZED HOME LIFE, A TEXAS LIMITED PARTNERSHIP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RONNIE J. STARR (ADMINISTRATOR)
(210) 599-8656
Entity
Organization
Contact information
Practice address
12302 GRAN VISTA ST, SAN ANTONIO, TX 78233-5927
(210) 599-6850
Mailing address
PO BOX 33487, SAN ANTONIO, TX 78265
(210) 599-8656
(210) 599-8656
Taxonomy
Speciality
Code
Description
License number
State
310500000X
Mental Illness Intermediate Care Facility
000360301
TX
310500000X
Mental Illness Intermediate Care Facility
Primary
000720801
TX
310500000X
Mental Illness Intermediate Care Facility
—
TX
Other
Enumeration date
05/08/2007
Last updated
03/27/2026
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