MEDICARE: AMERICAN COMMUNITY SERVICES, INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251C00000X	Developmentally Disabled Services Day Training Agency

General Provider Information

NPI Number	:	1942566310
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AMERICAN COMMUNITY SERVICES, INC

Provider Business Mailing Address
First Line	:	8146 SELDON TRL
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78244-2318
Country	:	US
Telephone Number	:	210-241-5228
Fax Number	:

Provider Business Practice Location Address
First Line	:	8146 SELDON TRL
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78244-2318
Country	:	US
Telephone Number	:	210-241-5228
Fax Number	:

Authorized Official
Title or Position	:	DIRECTOR
Name	:	GLORIA MOORE
Credential	:	RN, MSN
Telephone Number	:	210-241-5228

Provider Enumeration Date	:	04/10/2012
Last Update Date	:	04/10/2012

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