Organization
SECOND BAPTIST CHURCH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALLEN KEITH JACKSON (DIRECTOR)
(210) 227-2605
Entity
Organization
Contact information
Practice address
3310 E COMMERCE ST, SAN ANTONIO, TX 78220-1220
(210) 227-2605
(210) 227-7419
Mailing address
3310 E COMMERCE ST, SAN ANTONIO, TX 78220-1220
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
—
—
Other
Enumeration date
11/03/2020
Last updated
11/03/2020
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