MEDICARE: THE SARAH ROBERTS FRENCH HOME

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	313M00000X	Nursing Facility/Intermediate Care Facility

General Provider Information

NPI Number	:	1447491675
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	THE SARAH ROBERTS FRENCH HOME

Provider Business Mailing Address
First Line	:	1315 TEXAS AVE
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78201-5944
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1315 TEXAS AVE
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78201-5944
Country	:	US
Telephone Number	:	210-736-4238
Fax Number	:	210-737-7151

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	BARBARA DULEM
Credential	:
Telephone Number	:	210-736-4238

Provider Enumeration Date	:	03/18/2009
Last Update Date	:	06/23/2009

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Directions to “THE SARAH ROBERTS FRENCH HOME ” Practice Location

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