Organization · NPI-2

Air Force Village II, Incorporated

Assisted Living Facility · San Antonio, TX

NPI number1881954196
StatusActive
Last updated in NPPESMay 21, 2012

Details

NPI
1881954196
Entity type
Organization (NPI-2)
Legal business name
Air Force Village II, Incorporated
Organization subpart
No
Enumeration date
May 21, 2012
Last updated
May 21, 2012

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
310400000X Assisted Living Facility130391TXYes

Other names

  • Afv Liberty House (Other Name)

Practice location

5200 John D Ryan Blvd
San Antonio, TX 78245-3514

Phone 210-838-6325

Mailing address

12455 Freedom Way
San Antonio, TX 78245-3526

Phone 210-838-6325

Authorized official

Brian Englund
Cfo
2108386325

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