Organization
NEW CREATION RESIDENTIAL CARE HOMES I & II
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SCHERRY LYNN MOSES (OWNER)
(210) 621-5151
Entity
Organization
Contact information
Practice address
406 REGALVIEW ST, SAN ANTONIO, TX 78220
(210) 621-5151
(210) 333-2195
Mailing address
PO BOX 202274, SAN ANTONIO, TX 78220
(210) 621-5151
(210) 333-2195
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
103726
TX
Other
Enumeration date
12/17/2009
Last updated
12/17/2009
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