BLC - PATRIOT HEIGHTS, LLC
Assisted Living Facility
San Antonio, Texas
Provider NPI: 1538119367
Organization Information:Organization Name: BLC - PATRIOT HEIGHTS, LLC
Practice Location:
5000 FAWN MDWS SAN ANTONIO, TX 78240 US
Tel: 210-696-6005 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Other Provider Identifiers:
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
Practice Location:
5000 FAWN MDWS SAN ANTONIO, TX 78240 US
Tel: 210-696-6005 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
N | 310400000X | Nursing & Custodial Care Facilities Assisted Living Facility | TX | 114148 |
Y | 314000000X | Nursing & Custodial Care Facilities Skilled Nursing Facility | TX | 114144 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
001013188 | TX | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin