Organization

Amistad Residental Facility

Exclusive Provider Organization in San Antonio, TX(View on Map)

Legal Business Name

Amistad Residental Facility

NPI Number

1689902389

NPI Type

Organization

Enumeration Date

11/18/2009

Specialties

(Taxonomies)

Code

302F00000X

Primary Taxonomy

Yes

Licenses

State

Texas

License Number

127885

Contact
Information

Purpose

Mailing
Location

Address

309 W NORWOOD CT
309 W NORWOOD CT

City

San Antonio
San Antonio

State

TX
TX

Postal Code

78212-2222
78212-2222

Country

US
US

Telephone Number

(210) 832-9578
(210) 832-9578

Authorized Official

Name

Ms. Nancy Murrah

Title or Position

PROVIDER

Telephone Number

(210) 725-6293

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 11/18/2009

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