Organization
ENHANCE LIVING SERVICES
Active
Parent organization
ENHANCED LIVING SERVICES
Other names
Vista Run
Organization subpart
Yes
Provider details
NPI number
Legal business name
ENHANCED LIVING SERVICES
Authorized official
MIKE HAWKER (CHIEF FINANCIAL OFFICER)
(210) 340-7155
Entity
Organization
Contact information
Practice address
5303 VISTA RUN, SAN ANTONIO, TX 78247-4684
(210) 558-3097
(210) 558-9791
Mailing address
835 PROTON RD, SAN ANTONIO, TX 78258-4203
(210) 558-3097
(210) 558-9791
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
—
TX
Other
Enumeration date
07/23/2007
Last updated
07/23/2007
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