Organization
INGRAM ASSISTED LIVING LLC
Active
Organization
INGRAM ASSISTED LIVING LLC
Active
Other names
Ingram Assisted Living
Organization subpart
No
Provider details
NPI number
Authorized official
DORU NICHITEAN (MANAGER)
(206) 504-9660
Entity
Organization
Contact information
Practice address
6207 THUNDER DR, SAN ANTONIO, TX 78238-3452
(206) 504-9660
Mailing address
6207 THUNDER DR, SAN ANTONIO, TX 78238-3452
(206) 504-9660
Taxonomy
Speciality
Code
Description
License number
State
3104A0625X
Assisted Living Facility (Mental Illness)
Primary
—
—
Other
Enumeration date
11/08/2024
Last updated
11/08/2024
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