Organization
CARLA E. THOMAS
Active
Other names
Life Enrichment Agency
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CARLA E THOMAS (OWNER)
(210) 645-9227
Entity
Organization
Contact information
Practice address
7432 W MILITARY DR, SAN ANTONIO, TX 78227-2949
(210) 645-9227
Mailing address
7432 W MILITARY DR, SAN ANTONIO, TX 78227-2949
(210) 645-9227
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
118012
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001013602
DAHS PROVIDER ID
TX
Enumeration date
12/05/2006
Last updated
06/15/2008
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