Provider Demographics
NPI:1518062520
Name:HOMELIFE & COMMUNITY SERVICES, INC.
Entity Type:Organization
Organization Name:HOMELIFE & COMMUNITY SERVICES, INC.
Other - Org Name:HOMELIFE
Other - Org Type:Other Name
Authorized Official - Title/Position:ADMIN/RN
Authorized Official - Prefix:
Authorized Official - First Name:LETICIA
Authorized Official - Middle Name:
Authorized Official - Last Name:DIAZ
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:210-736-3334
Mailing Address - Street 1:2401 WILSON
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78228
Mailing Address - Country:US
Mailing Address - Phone:210-736-3334
Mailing Address - Fax:210-736-0404
Practice Address - Street 1:2401 WILSON
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78228
Practice Address - Country:US
Practice Address - Phone:210-736-3334
Practice Address - Fax:210-736-0404
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-14
Last Update Date:2014-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD1600XAmbulatory Health Care FacilitiesClinic/CenterDevelopmental Disabilities