Organization
REGINA GOOD HOME ASSISTED LIVING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANTHONY S SMITH (DIRECTOR)
(210) 534-9984
Entity
Organization
Contact information
Practice address
410 REGINA ST, APT 1, SAN ANTONIO, TX 78223-1119
(210) 534-5288
(210) 333-4658
Mailing address
410 REGINA ST, APT 1, SAN ANTONIO, TX 78223-1119
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
05/23/2008
Last updated
05/26/2008
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