Organization
RIDGE OAK ASSISTED LIVING, LLC
Active
Other names
Imagine Wellness Assisted Living, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES CALDWELL (MANAGER)
(210) 908-8300
Entity
Organization
Contact information
Practice address
13919 RIDGE OAK PKWY, SAN ANTONIO, TX 78249-1505
(210) 908-8300
Mailing address
13919 RIDGE OAK PKWY, SAN ANTONIO, TX 78249-1505
(210) 908-8300
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000000
N/A
—
Enumeration date
03/05/2020
Last updated
03/05/2020
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