Organization
SOUTHWEST LTC - SAN ANTONIO ALF, LLC
Active
Other names
Colonial Gardens of San Antonio SA-2
Organization subpart
No
Provider details
NPI number
Authorized official
RONALD R. PAYNE (MANAGER)
(469) 916-6100
Entity
Organization
Contact information
Practice address
10 LYNN BATTS LN, SAN ANTONIO, TX 78218-3017
(210) 826-6594
(210) 826-0063
Mailing address
5560 TENNYSON PKWY STE 210, PLANO, TX 75024-3582
(469) 916-6100
(469) 916-6105
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
143406
TX
Other
Enumeration date
03/31/2017
Last updated
11/11/2021
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