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Shane Llc
Intellectual Disabilities Intermediate Care Facility in San Antonio, Texas
NPI 1518663053

Shane Llc is a Intellectual Disabilities Intermediate Care Facility based in San Antonio, TX. Shane Llc practices in San Antonio, TX. The NPI Number for Shane Llc is 1518663053 and holds a License No. (Texas).

The current practice location address for Shane Llc is 2002 Pinetree Ln, San Antonio, TX and can be reached out via phone at 210-403-9372.

Location: 2002 Pinetree Ln, San Antonio, TX, 78232-4015
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1518663053
Provider Name
Shane Llc
Credential
Provider Entity Type
Organization
Address
2002 Pinetree Ln, San Antonio, TX, 78232-4015
Phone Number
210-403-9372
Fax Number
Provider Enumeration Date
02/06/2023
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
2002 Pinetree Ln
City
San Antonio
State
Texas
Zip
78232-4938
Phone Number
210-403-9372
Fax Number
person
Provider Business Mailing Address Details
Address
2002 Pinetree Ln
City
San Antonio
State
Texas
Zip
78232-4938
Phone Number
210-403-9372
Fax Number
person
Provider's Taxonomy Details 1
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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