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Mrs. Gladys M Koval
Adult Care Home Facility in San Antonio, Texas
NPI 1447305081

Gladys M Koval is an Adult Care Home Facility based in San Antonio, TX and is specialized in Adult Care Home. Gladys M Koval practices in San Antonio, TX. The NPI Number for Gladys M Koval is 1447305081 and holds a License No. 118485 (Texas).

The current practice location address for Gladys M Koval is 804 Monticello Ct, San Antonio, TX and can be reached out via phone at 210-534-9451. You can also correspond with Gladys M Koval through the mailing address at 804 MONTICELLO CT, SAN ANTONIO, TX - 78223-2232 (mailing address contact number: 210-534-9451).

Location: 804 Monticello Ct, San Antonio, TX, 78223-2232
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1447305081
Provider Name
Gladys M Koval
Credential
Provider Entity Type
Individual
Gender
Female
Address
804 Monticello Ct, San Antonio, TX, 78223-2232
Phone Number
210-534-9451
Fax Number
Provider Enumeration Date
01/24/2007
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
804 Monticello Ct
City
San Antonio
State
Texas
Zip
78223-2232
Phone Number
210-534-9451
Fax Number
person
Provider Business Mailing Address Details
Address
804 Monticello Ct
City
San Antonio
State
Texas
Zip
78223-2232
Phone Number
210-534-9451
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Assisted Living Facility
Speciality
-
Taxonomy
310400000X
License No.
146005 (Texas)
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
Custodial Care Facility
Speciality
Adult Care Home
Taxonomy
311ZA0620X
License No.
118485 (Texas)
Definition
A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.
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