Organization
ROSA'S ASSISTED LIVING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROSA L TONEY NURSE (ADMINISTRATOR)
(210) 650-9963
Entity
Organization
Contact information
Practice address
5254 ROUND TABLE DR, SAN ANTONIO, TX 78218-2826
(210) 650-9963
Mailing address
7715 OAKHILL PARK DR, SAN ANTONIO, TX 78249-4455
(210) 382-8788
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
138374
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
508295273
—
TX
05
—
516824935
—
TX
05
—
519497093
—
TX
05
—
528594471
—
TX
Enumeration date
08/08/2014
Last updated
08/08/2014
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