Organization
CATERED LIVING SA, LLC
Active
Other names
National Independent Seniorcare
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JEANETTE IBARRA BA (DIRECTOR OF OPERATIONS)
(210) 822-2654
Entity
Organization
Contact information
Practice address
18323 SONTERRA PL, SAN ANTONIO, TX 78258-4353
(210) 291-7770
(210) 822-2982
Mailing address
1635 NE LOOP 410, SUITE 700, SAN ANTONIO, TX 78209-1620
(210) 822-2654
(210) 822-2982
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
015525
TX
253Z00000X
In Home Supportive Care Agency
015525
TX
253Z00000X
In Home Supportive Care Agency
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Other
Enumeration date
07/24/2012
Last updated
04/25/2014
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