Organization
KIRBY ADULT DAY CARE, INC.
Active
Organization
KIRBY ADULT DAY CARE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM E. HYSAW (C.E.O.)
(210) 310-1602
Entity
Organization
Contact information
Practice address
5135 SEGUIN RD, SUITE B, SAN ANTONIO, TX 78219-1095
(210) 310-1602
(210) 310-1602
Mailing address
5135 SEGUIN RD, SUITE B, SAN ANTONIO, TX 78219-1095
(210) 310-1602
(210) 310-1602
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001001728
CONTRACT NUMBER
TX
Enumeration date
02/26/2007
Last updated
10/18/2018
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