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Ms. Costance Yvette Staten, DIRECTOR
Assisted Living Facility (Behavioral Disturbances) in San Antono, Texas
NPI 1588822308

Costance Yvette Staten is an Assisted Living Facility (Behavioral Disturbances) based in San Antonio, TX and is specialized in Assisted Living, Behavioral Disturbances. Costance Yvette Staten practices in San Antono, TX and has the professional credentials of DIRECTOR. The NPI Number for Costance Yvette Staten is 1588822308 and holds a License No. 121763 (Texas).

The current practice location address for Costance Yvette Staten is 7000 Gulfshore, San Antono, TX and can be reached out via phone at 210-707-7784.

Location: 7000 Gulfshore, San Antono, TX, 78244-1535
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1588822308
Provider Name
Costance Yvette Staten
Credential
DIRECTOR
Provider Entity Type
Individual
Gender
Female
Address
7000 Gulfshore, San Antono, TX, 78244-1535
Phone Number
210-707-7784
Fax Number
Provider Enumeration Date
05/29/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
51430089 05 TX
institution
Provider Business Practice Location Address Details
Address
7000 Gulfshore
City
San Antono
State
Texas
Zip
78244
Phone Number
210-707-7784
Fax Number
person
Provider Business Mailing Address Details
Address
7000 Gulfshore
City
San Antono
State
Texas
Zip
78244
Phone Number
210-707-7784
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Assisted Living Facility
Speciality
-
Taxonomy
310400000X
License No.
21763 (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
Assisted Living Facility
Speciality
Assisted Living, Mental Illness
Taxonomy
3104A0625X
License No.
121763 (Texas)
Definition
A facility providing supportive services to individuals who can function independently in most areas of activity, but need special guidance, assistance and/or monitoring as the result of a psychiatric problem. This type of facility requires a staff with special training in mental health training and dealing with psychiatric emergencies.
person
Provider's Taxonomy Details 3
Type
Nursing & Custodial Care Facilities
Classification
Assisted Living Facility
Speciality
Assisted Living, Behavioral Disturbances
Taxonomy
3104A0630X
License No.
121763 (Texas)
Definition
A facility providing supportive services to individuals who can function independently in most areas of activity, but exhibit abnormal behavioral responses and habits and therefore need special guidance, assistance and/or monitoring to assure safety and well being. This type of facility requires a staff with special training in dealing with and redirecting negative, violent or destructive behaviors.
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