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MS. COSTANCE YVETTE STATEN DIRECTOR

Assisted Living, Mental Illness

San Antono, Texas

Provider NPI: 1588822308

Provider Information:
MS. COSTANCE YVETTE STATEN DIRECTOR


Practice Location:
7000 GULFSHORE  SAN ANTONO, TX 78244 US
Tel: 210-707-7784  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y310400000XNursing & Custodial Care Facilities
Assisted Living Facility
TX121763
N3104A0625XNursing & Custodial Care Facilities
Assisted Living Facility
TX121763
N3104A0630XNursing & Custodial Care Facilities
Assisted Living Facility
TX21763

Other Provider Identifiers:

IssuerNumberStateType
51430089TX05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




MENTAL ILLNESS JOBS TX - Page 1