Whalio Doctors

NPI 1174978548

Great Life Services, LLC

Organisation Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility San Antonio, TX

Practice location

Address
9033 Aero St STE 101, San Antonio, TX 78217-6343
Phone
(210) 844-7487
Fax
(210) 579-1314

Authorised official

Name
Gisele L Santana
Title
Ceo
Phone
(210) 656-1633

Registered specialties

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary
Residential Treatment Facilities Taxonomy 320900000X

Registry record

NPI
1174978548
Entity type
Organization
NPI issued
4 May 2016
Record last updated
5 Jan 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.