Organization
OPEN HEARTS RESIDENTIAL SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEVEN RAFAEL JIMENEZ (PROGRAM MANAGER/OWNER)
(210) 955-4949
Entity
Organization
Contact information
Practice address
3423 SKY ROCKET, SAN ANTONIO, TX 78245-4781
(210) 955-4949
Mailing address
3423 SKY ROCKET, SAN ANTONIO, TX 78245-4781
(210) 955-4949
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
05/17/2023
Last updated
05/17/2023
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