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NPI Code Detail

MEDICARE: ARDEN PARK ASSISTED LIVING

MEDICARE: ARDEN PARK ASSISTED LIVING
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
1310400000XAssisted Living Facility

General Provider Information

NPI Number : 1689005670
Entity Type Code : Organization
Provider Name (Legal Business Name) : ARDEN PARK ASSISTED LIVING
Provider Business Mailing Address
First Line : 7023 W HAUSMAN RD
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78249-1547
Country : US
Telephone Number : 210-663-3887
Fax Number :
Provider Business Practice Location Address
First Line : 7023 W HAUSMAN RD
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78249-1547
Country : US
Telephone Number : 210-663-3887
Fax Number :
Authorized Official
Title or Position : ADMINISTRATOR
Name : MR. CALIN NEGRU
Credential :
Telephone Number : 210-663-3887
Provider Enumeration Date : 12/02/2013
Last Update Date : 12/02/2013

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Directions to “ARDEN PARK ASSISTED LIVING ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.