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Organization

REGINA WILLIAMS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. REGINA C. WILLIAMS (OWNER)
(210) 227-7054
Entity
Organization

Contact information

Practice address
3807 WILLOWWOOD BLVD, SAN ANTONIO, TX 78219-2537
(210) 227-7054
Mailing address
3807 WILLOWWOOD BLVD, SAN ANTONIO, TX 78219-2537
(210) 227-7054

Taxonomy

Speciality
Code
Description
License number
State
320700000X
Physical Disabilities Residential Treatment Facility
Primary
689500
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
F50016386
TX
Enumeration date
05/02/2007
Last updated
06/18/2008
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