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NPI 1710109079

NPI 1710109079 : RESPITE CARE OF SAN ANTONIO, INC. : SAN ANTONIO, TX

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General NPI Number Information
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    NPI Number           |    1710109079
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    Entity Type          |    Organization 
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    Legal Business Name  |    RESPITE CARE OF SAN ANTONIO, INC. 
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Dates
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    Enumeration Date     |    05/03/2007
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    Last Update Date     |    08/22/2025
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Provider Practice Location Address
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    Address Line         |    605 BELKNAP PLACE 
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    City                 |    SAN ANTONIO
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    State                |    TX
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    Zip                  |    78212
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    Country              |    US
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    Telephone            |    210-737-1212
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    Fax                  |    210-737-1221
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Provider Business Mailing Address
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    Address Line         |    605 BELKNAP PLACE P.O. BOX 12633
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    City                 |    SAN ANTONIO
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    State                |    TX
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    Zip                  |    78212
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    Country              |    US
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    Telephone            |    210-737-1212
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    Fax                  |    210-737-1221
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Authorized Official
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    Title or Position    |    CONTROLLER
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    Name                 |     GAYE  PRESTON 
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    Credential           |    
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    Telephone            |    210-737-1212
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    385H00000X
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    Taxonomy Name        |    Respite Care
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    License Number       |    
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    License Number State |    
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