Organization
LOPEZ HOMES MCG LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TOM G LOPEZ JR. (MANAGER)
(210) 365-0532
Entity
Organization
Contact information
Practice address
3125 ELK RIVER TRL, BULVERDE, TX 78163-2227
(210) 365-0532
Mailing address
118 WALLACE ST, SAN ANTONIO, TX 78237-3112
(210) 438-8750
(830) 438-5539
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
103075
TX
Other
Enumeration date
07/27/2010
Last updated
07/27/2010
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