Healthcare Provider Details

I. General information

NPI: 1396855953
Provider Name (Legal Business Name): YRRL INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/30/2006
Last Update Date: 02/17/2022
Certification Date: 02/17/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4910 GOLDEN QUAIL STE 170
SAN ANTONIO TX
78240-1770
US

IV. Provider business mailing address

4910 GOLDEN QUAIL SUITE 170
SAN ANTONIO TX
78240
US

V. Phone/Fax

Practice location:
  • Phone: 210-541-0131
  • Fax: 210-541-0227
Mailing address:
  • Phone: 210-541-0131
  • Fax: 210-541-0227

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number9992
License Number StateTX

VIII. Authorized Official

Name: MRS. SYLVIA C MONTEZ
Title or Position: CEO CFO
Credential:
Phone: 210-541-0131