NPI 1770705857

Our Personal Home

Organisation Physical Disabilities Residential Treatment Facility San Antonio, TX

Practice location

Address: 3803 Willowwood Blvd, San Antonio, TX 78219-2537
Phone: (210) 227-7054
Mailing address: 3807 Willowwood Blvd, San Antonio, TX 78219-2537

Authorised official

Name: Regina C. Williams
Title: Owner
Phone: (210) 227-7054

Registered specialties

Physical Disabilities Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320700000X Licence 118088 (TX)

Other Residential Treatment Facility, Physical Disabilities providers in Texas →

Registry record

NPI: 1770705857
Entity type: Organization
NPI issued: 2 May 2007
Record last updated: 18 Jun 2008

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.