Enhanced Living Services

NPI 1356307524 - Intermediate Care Facility, Mental Illness - 310500000X

NPI Details
NPI 1356307524
Enumeration Date 04/25/2006
Last Updated 07/09/2007
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name MIKE MIKE
Position CFO
Phone (210) 558-3097
Fax (210) 558-9791
Practice Location
835 PROTON RD
SAN ANTONIO TX, 78258-4203, US
Phone (210) 558-3097
Fax (210) 558-9791
Business Location
845 PROTON RD
SAN ANTONIO TX, 78258-4203, US
Phone (210) 340-7155
Fax
Toxanomy
Taxonomy Code 310500000X
License State Texas
License Number 101796
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According to our database, Enhanced Living Services NPI is 1356307524, taxonomy code is 310500000X and license number is 101796, license state is located at Texas. Enhanced Living Services physically located at 835 Proton Rd, San Antonio TX, 78258-4203. NPI Number 1033115704 has the healthcare provider type.

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1356307524 NPI number is provided on an as is basis without warranty of any kind. 1356307524 is maintained by the National Plan & Provider Enumeration System. The contents of Enhanced Living Services are for informational purposes only.