Organization
HOME AT SILVER QUAIL, INC.
Active
Other names
Silver Quail
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARC F MUCKLEROY (ADMINISTRATOR)
(210) 680-6768
Entity
Organization
Contact information
Practice address
8706 SILVER QUAIL, SAN ANTONIO, TX 78250-6214
(210) 680-6768
(210) 520-0812
Mailing address
9714 KNOB OAK, SAN ANTONIO, TX 78250-3423
(210) 680-6768
(210) 520-0812
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
115324
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
45H153
PROVIDER NUMBER
TX
Enumeration date
05/10/2006
Last updated
08/22/2020
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