Aging Gracefully LLC Memory Care
Assisted Living Facility in San Antonio, TX. Organization (NPI-2).
NPI number1174379507
StatusActive
Last updated in NPPESApr 26, 2024
Details
- NPI
- 1174379507
- Entity type
- Organization (NPI-2)
- Legal business name
- Aging Gracefully LLC Memory Care
- Organization subpart
- No
- Enumeration date
- Apr 26, 2024
- Certification date
- Apr 26, 2024
- Last updated
- Apr 26, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 310400000X | Assisted Living Facility | – | – | Yes |
Practice location
6202 Hollyhock RdSan Antonio, TX 78240-2518
Phone 210-799-3181 · Fax 210-579-8022
Mailing address
24502 Drew GapSan Antonio, TX 78255-2284
Authorized official
Cornelia Obrian
Owner/Manager
9712228710
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