Individual provider · Type 1 NPI

Sandra Denise Wiley, LMSW-IPR

Adult Care Home Facility · San Antonio, TX

NPI number 1306420914 Active

Practice location

6410 Firestone Pkwy
San Antonio, TX 78244-1544

Call (210) 904-4095 Map

Mailing address

PO Box 29206
San Antonio, TX 78229-0206

Specialties and licenses

TaxonomyCodeLicense
Adult Care Home Facility Primary 311ZA0620XNone listed

Adult Care Home Facility: 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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About NPI 1306420914

Sandra Denise Wiley, LMSW-IPR's National Provider Identifier is 1306420914, issued on May 10, 2021. The primary taxonomy on file is Adult Care Home Facility (311ZA0620X), and the practice location is in San Antonio, TX. The record was last updated on May 10, 2021.