Organization
COMPLETE LIFE CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CARRIE LEIGH CALVERT (ADMINSTRATOR)
(210) 520-0774
Entity
Organization
Contact information
Practice address
6647 CADES COVE, SAN ANTONIO, TX 78056
(210) 520-0774
(210) 520-7260
Mailing address
6647 CADES COVE, SAN ANTONIO, TX 78056
(210) 520-0774
(210) 520-7260
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
115509
TX
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
116568
TX
Other
Enumeration date
05/23/2006
Last updated
07/11/2007
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