HOME AT SILVER QUAIL, INC.
Intermediate Care Facility, Mentally Retarded
San Antonio, Texas
Provider NPI: 1831149095
Organization Information:Organization Name: HOME AT SILVER QUAIL, INC.
Practice Location:
8706 SILVER QUAIL SAN ANTONIO, TX 78250 US
Tel: 210-680-6768 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:
8706 SILVER QUAIL SAN ANTONIO, TX 78250 US
Tel: 210-680-6768 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 315P00000X | Nursing & Custodial Care Facilities Intermediate Care Facility, Mentally Retarded | TX | 115324 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
PROVIDER NUMBER | 45H153 | TX | 01 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin