Organization
GUZMAN PERSONAL CARE HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NINFA HERNANDEZ GUZMAN (OWNER/MANAGER)
(210) 454-6745
Entity
Organization
Contact information
Practice address
325 E LOCUST ST, SAN ANTONIO, TX 78212-4035
(210) 735-1779
(210) 735-1776
Mailing address
325 E LOCUST ST, SAN ANTONIO, TX 78212-4035
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1902451701
—
TX
Enumeration date
07/22/2022
Last updated
07/22/2022
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