Our Personal Home
NPI #1770705857 in San Antonio, Texas
Provider Information
- NPI Number
- 1770705857
- Entity Type
- Organization
- Organization Name
- Our Personal Home
- Primary Specialty
- Residential Treatment Facility, Physical Disabilities
- Enumeration Date
- May 2, 2007
- Last Updated
- Jun 18, 2008
Practice Location
- Address
- 3803 WILLOWWOOD BLVD
- City
- San Antonio
- State
- Texas
- ZIP Code
- 78219-2537
- Phone
- (210) 227-7054
Authorized Official
- Name
- MS. REGINA C. WILLIAMS
- Title
- OWNER
- Phone
- (210) 227-7054
Specialties & Taxonomy Codes
| Specialty |
|---|
| Residential Treatment Facility, Physical Disabilities |
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