Organization
CRUZ PERSONAL CARE HOME, LLC
Active
Other names
Cruz Personal Care Home
Organization subpart
No
Provider details
NPI number
Authorized official
VIRGINIA MINDIETA (PRESIDENT)
(512) 657-9262
Entity
Organization
Contact information
Practice address
730 COUNTY ROAD 664, DEVINE, TX 78016-4685
(210) 977-9178
(210) 977-9205
Mailing address
2603 W SOUTHCROSS BLVD, SAN ANTONIO, TX 78211-1850
(512) 657-9262
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
149535
TX
Other
Enumeration date
08/29/2018
Last updated
08/29/2018
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