Organization
HILL COUNTRY SAN ANTONIO MANAGEMENT INC
Active
Other names
East Texas Hill Country
Organization subpart
No
Provider details
NPI number
Authorized official
SANDY SMITH (REGIONAL PROGRAM DIRECTOR)
(210) 340-8256
Entity
Organization
Contact information
Practice address
4142 MCKNIGHT RD, TEXARKANA, TX 75503-0844
(903) 691-2514
Mailing address
4142 MCKNIGHT RD, TEXARKANA, TX 75503-0844
(903) 691-2514
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001008469
TEXAS DEPARTMENT OF AGING AND DISABILITY
TX
Enumeration date
11/25/2008
Last updated
11/25/2008
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