Organization
GRANDVIEW OF WESTOVER HILLS LLC
Active
Other names
Lakeside Assisted Living
Organization subpart
No
Provider details
NPI number
Authorized official
ANAND PATEL (AUTHORIZED OFFICIAL)
(469) 995-0911
Entity
Organization
Contact information
Practice address
8627 LAKESIDE PKWY, SAN ANTONIO, TX 78245-3261
(210) 810-4900
(210) 670-0005
Mailing address
1422 CLARKVIEW RD, BALTIMORE, MD 21209-2385
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
105750
—
TX
Enumeration date
03/12/2019
Last updated
10/21/2020
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