Organization · NPI-2

A&J Health Services LLC

Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities · San Antonio, TX

NPI number1043834773

StatusActive

Last updated in NPPESOct 27, 2025

Details

NPI: 1043834773
Entity type: Organization (NPI-2)
Legal business name: A&J Health Services LLC
Organization subpart: No
Enumeration date: May 28, 2020
Certification date: Oct 27, 2025
Last updated: Oct 27, 2025

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
320900000X	Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities	–	–	Yes
253Z00000X	In Home Supportive Care	–	–
305R00000X	Preferred Provider Organization	–	–

Practice location

5707 Black Drum
San Antonio, TX 78253-6398

Phone 210-427-0509

Mailing address

5707 Black Drum
San Antonio, TX 78253-6398

Phone 210-427-0509

Authorized official

Asoh Mbeh Mabo
Program Director
2104270509

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