| San Antonio State Supported Living Center | |
|
6711 S New Braunfels Ave Ste 500 San Antonio TX 78223-3004 | |
| (210) 532-9610 | |
| (210) 531-3877 |
| Full Name | San Antonio State Supported Living Center |
|---|---|
| Speciality | Intermediate Care Facility, Intellectual Disabilities |
| Location | 6711 S New Braunfels Ave, San Antonio, Texas |
| Authorized Official Name and Position | Scott Schalchlin (ASSOCIATE COMMISSINER) |
| Authorized Official Contact | 5124383076 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| San Antonio State Supported Living Center 6711 S New Braunfels Ave Ste 500 San Antonio TX 78223-3004 Ph: (210) 532-9610 | San Antonio State Supported Living Center 6711 S New Braunfels Ave Ste 500 San Antonio TX 78223-3004 Ph: (210) 532-9610 |
| NPI Number | 1093894859 |
|---|---|
| Provider Enumeration Date | 11/03/2006 |
| Last Update Date | 02/05/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093894859 | NPI | - | NPPES |
| 000711401 | Medicaid | TX |
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