Individual provider · Type 1 NPI

Tony C. Moffett Sr.

Assisted Living Facility · San Antonio, TX

NPI number 1083190664 Active

Practice location

6047 Still Mdw
San Antonio, TX 78222-3425

Call (979) 402-7937 Map

Specialties and licenses

TaxonomyCodeLicense
Intellectual Disabilities Intermediate Care Facility 315P00000XNone listed
Assisted Living Facility Primary 310400000XNone listed

Assisted Living Facility: 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.

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About NPI 1083190664

Tony C. Moffett Sr.'s National Provider Identifier is 1083190664, issued on Jul 17, 2018. The primary taxonomy on file is Assisted Living Facility (310400000X), and the practice location is in San Antonio, TX. The record was last updated on Jul 17, 2018.