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General NPI Number Information
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NPI Number | 1083851067
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Entity Type | Organization
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Legal Business Name | RIOS BOARD & CARE SERVICE INC
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Dates
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Enumeration Date | 01/13/2009
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Last Update Date | 01/13/2009
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Provider Practice Location Address
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Address Line | 1618 S SAINT MARYS
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City | SAN ANTONIO
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State | TX
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Zip | 78210-1634
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Country | US
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Telephone | 210-532-7698
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Fax |
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Provider Business Mailing Address
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Address Line | 1618 S SAINT MARYS
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City | SAN ANTONIO
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State | TX
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Zip | 78210-1634
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Country | US
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Telephone | 210-532-7698
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MRS. LUCY RIOS
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Credential |
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Telephone | 210-521-8776
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 310400000X
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Taxonomy Name | Assisted Living Facility
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License Number | 010230
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License Number State | TX
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