NPI 1306420914

Sandra Denise Wiley, LMSWIPR

Practitioner Adult Care Home Facility San Antonio, TX

Practice location

Address: 6410 Firestone Pkwy, San Antonio, TX 78244-1544
Phone: (210) 904-4095
Mailing address: PO Box 29206, San Antonio, TX 78229-0206

Registered specialties

Adult Care Home Facility Primary

Nursing & Custodial Care Facilities Taxonomy 311ZA0620X

Other Custodial Care Facility providers in Texas →

Registry record

NPI: 1306420914
Entity type: Individual
Sex (as registered): Female
NPI issued: 10 May 2021
Record last updated: 10 May 2021

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.