Optimum Residential Services Ltd

NPI 1134185523 - Intermediate Care Facility, Mental Illness - 310500000X

NPI Details
NPI 1134185523
Enumeration Date 04/25/2006
Last Updated 07/09/2007
Entity Type Healthcare Provider
Active Over 12 years ago
Authorized Information
Name MIKE MIKE
Position CFO
Phone (210) 340-7155
Fax
Practice Location
2579 WESTERN TRAILS BLVD
AUSTIN TX, 78745-1578, US
Phone (210) 340-7155
Fax
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 102416
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According to our database, Optimum Residential Services Ltd NPI is 1134185523, taxonomy code is 310500000X and license number is 102416, license state is located at Texas. Optimum Residential Services Ltd physically located at 2579 Western Trails Blvd, Austin TX, 78745-1578. NPI Number 1033115704 has the healthcare provider type.

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1134185523 NPI number is provided on an as is basis without warranty of any kind. 1134185523 is maintained by the National Plan & Provider Enumeration System. The contents of Optimum Residential Services Ltd are for informational purposes only.