Healthcare Provider Details

I. General information

NPI: 1679620397
Provider Name (Legal Business Name): LIVING WITH CHOICES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/04/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4250 CLEAR LAKE DR
SAN ANTONIO TX
78217-1838
US

IV. Provider business mailing address

4250 CLEAR LAKE DR
SAN ANTONIO TX
78217-1838
US

V. Phone/Fax

Practice location:
  • Phone: 210-387-1802
  • Fax:
Mailing address:
  • Phone: 210-387-1802
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code311Z00000X
TaxonomyCustodial Care Facility
License Number
License Number State

VIII. Authorized Official

Name: MS. PATRICIA PORTER
Title or Position: CEO
Credential:
Phone: 210-387-1802