Provider Demographics
NPI:1710109079
Name:RESPITE CARE OF SAN ANTONIO, INC.
Entity Type:Organization
Organization Name:RESPITE CARE OF SAN ANTONIO, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:BERT
Authorized Official - Middle Name:
Authorized Official - Last Name:PFIESTER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:210-737-1212
Mailing Address - Street 1:605 BELKNAP PLACE
Mailing Address - Street 2:P.O. BOX 12633
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78212
Mailing Address - Country:US
Mailing Address - Phone:210-737-1212
Mailing Address - Fax:210-737-1221
Practice Address - Street 1:605 BELKNAP PLACE
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78212
Practice Address - Country:US
Practice Address - Phone:210-737-1212
Practice Address - Fax:210-737-1221
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-03
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes385H00000XRespite Care FacilityRespite Care