Organization
LANGE AND FORD, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KYNA NELSON LMSW (ADMINISTRATOR)
(210) 494-1956
Entity
Organization
Contact information
Practice address
2002 PINETREE LN, SAN ANTONIO, TX 78232-4938
(210) 494-1956
(210) 494-1957
Mailing address
2002 PINETREE LN, SAN ANTONIO, TX 78232-4938
(210) 494-1956
(210) 494-1957
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
115329
TX
Other
Enumeration date
03/15/2007
Last updated
08/22/2020
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