Organization
COME HOME - VICTOR'S HOUSE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. VALENTIN ANDRADE SR. (OWNER/CEO)
(210) 723-6023
Entity
Organization
Contact information
Practice address
2522 HOLLYHILL DR, SAN ANTONIO, TX 78222-1352
(210) 451-8393
Mailing address
2522 HOLLYHILL DR, SAN ANTONIO, TX 78222-1352
(210) 451-8393
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
08/21/2015
Last updated
08/21/2015
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