Provider Demographics
NPI:1912438755
Name:TOWERS PARK PERSONAL CARE, INC.
Entity Type:Organization
Organization Name:TOWERS PARK PERSONAL CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:TREASURER
Authorized Official - Prefix:
Authorized Official - First Name:SOON
Authorized Official - Middle Name:
Authorized Official - Last Name:BURNAM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:949-540-1249
Mailing Address - Street 1:2 TOWERS PARK LN
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78209-6410
Mailing Address - Country:US
Mailing Address - Phone:210-829-1400
Mailing Address - Fax:210-841-7741
Practice Address - Street 1:2 TOWERS PARK LN
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78209-6410
Practice Address - Country:US
Practice Address - Phone:210-829-1400
Practice Address - Fax:210-841-7741
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-03-23
Last Update Date:2017-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care