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Organization

VIP ACTIVITY CENTER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. VIVIAN ADAMS (OWNER-DIRECTOR)
(210) 333-5151
Entity
Organization

Contact information

Practice address
1925 RIGSBY AVE, A-B, SAN ANTONIO, TX 78210-4432
(210) 333-5151
(210) 333-5181
Mailing address
PO BOX 202003, SAN ANTONIO, TX 78220-9003
(210) 333-5151
(210) 333-5181

Taxonomy

Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
116459
TX

Other

Enumeration date
05/02/2007
Last updated
06/19/2008
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