Organization
EZ GRACE RESIDENTIAL HOME CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VICTORIA DELANO RN (FACILITY ADMINISTRATOR)
(240) 478-0095
Entity
Organization
Contact information
Practice address
919 SADDLEBROOK DR, SAN ANTONIO, TX 78245-1630
(210) 994-8210
Mailing address
919 SADDLEBROOK DR, SAN ANTONIO, TX 78245-1630
(210) 994-8210
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
106661
TX
3104A0630X
Assisted Living Facility (Behavioral Disturbances)
Primary
106661
TX
Other
Enumeration date
01/20/2017
Last updated
01/20/2017
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