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Tony C Moffett SR.
Assisted Living Facility in San Antonio, Texas
NPI 1083190664

Tony C Moffett SR. is an Assisted Living Facility based in San Antonio, TX. Tony C Moffett SR. practices in San Antonio, TX. The NPI Number for Tony C Moffett SR. is 1083190664 and holds a License No. (Texas).

The current practice location address for Tony C Moffett SR. is 6047 Still Mdw, San Antonio, TX and can be reached out via phone at 979-402-7937.

Location: 6047 Still Mdw, San Antonio, TX, 78222-3425
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1083190664
Provider Name
Tony C Moffett SR.
Credential
Provider Entity Type
Individual
Gender
Male
Address
6047 Still Mdw, San Antonio, TX, 78222-3425
Phone Number
979-402-7937
Fax Number
Provider Enumeration Date
07/17/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
6047 Still Mdw
City
San Antonio
State
Texas
Zip
78222-3425
Phone Number
979-402-7937
Fax Number
person
Provider Business Mailing Address Details
Address
6047 Still Mdw
City
San Antonio
State
Texas
Zip
78222-3425
Phone Number
979-402-7937
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Assisted Living Facility
Speciality
-
Taxonomy
310400000X
License No.
()
Definition
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
person
Provider's Taxonomy Details 2
Type
Nursing & Custodial Care Facilities
Classification
Intermediate Care Facility, Mentally Retarded
Speciality
-
Taxonomy
315P00000X
License No.
()
Definition
(1) A public institution for care of the mentally retarded or people with related conditions. (2) An institution giving active treatment to mentally retarded or developmentally disabled persons or persons with related conditions. The primary purpose of the institution is to provide health or rehabilitative services to such individuals.
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