Provider Demographics
NPI:1821580481
Name:MI AMOR HOME & COMMUNITY SERVICES, LLC
Entity Type:Organization
Organization Name:MI AMOR HOME & COMMUNITY SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:GIANNA
Authorized Official - Middle Name:
Authorized Official - Last Name:RECIO
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:210-291-9112
Mailing Address - Street 1:2030 ODESSA DR
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78220-4721
Mailing Address - Country:US
Mailing Address - Phone:210-291-9112
Mailing Address - Fax:210-290-9060
Practice Address - Street 1:8151 BROADWAY ST
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78209-1995
Practice Address - Country:US
Practice Address - Phone:210-291-9112
Practice Address - Fax:210-290-9060
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-05-30
Last Update Date:2018-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities