Organization
DEFINITIVE RESIDENTIAL CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YUKETHA VONYONN POLK (OWNER)
(210) 592-3710
Entity
Organization
Contact information
Practice address
20614 STONE OAK PKWY # 2108, SAN ANTONIO, TX 78258-7374
(210) 983-9950
(888) 871-9804
Mailing address
20614 STONE OAK PKWY # 2108, SAN ANTONIO, TX 78258-7374
(210) 983-9950
(888) 871-9804
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
06/25/2024
Last updated
06/25/2024
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