Just Like Home
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in San Antonio, TX. Organization (NPI-2).
NPI number1801124342
StatusActive
Last updated in NPPESNov 20, 2009
Details
- NPI
- 1801124342
- Entity type
- Organization (NPI-2)
- Legal business name
- Just Like Home
- Organization subpart
- No
- Enumeration date
- Nov 20, 2009
- Last updated
- Nov 20, 2009
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 320900000X | Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | – | TX | Yes |
Practice location
10323 Rainbow CrkSan Antonio, TX 78245-2593
Phone 210-396-8472
Mailing address
10323 Rainbow CrkSan Antonio, TX 78245-2593
Authorized official
Khalilah Douglas
Director
2103968472
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