Organization · Type 2 NPI

Premieant Inc

Intellectual Disabilities Intermediate Care Facility · San Antonio, TX

NPI number 1417505124 Active

Practice location

12427 Autumn Vista St
San Antonio, TX 78249-2407

Call (512) 916-1632 Map

Fax (512) 916-1639

Mailing address

1110 W William Cannon Dr Bldg 2
Austin, TX 78745-5468

Specialties and licenses

Taxonomy	Code	License
Intellectual Disabilities Intermediate Care Facility Primary	315P00000X	None listed

Intellectual Disabilities Intermediate Care Facility: An intermediate care facility providing services for individuals with intellectual disabilities.

2 other providers at this address

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About NPI 1417505124

Premieant Inc's National Provider Identifier is 1417505124, issued on Aug 27, 2019. The primary taxonomy on file is Intellectual Disabilities Intermediate Care Facility (315P00000X), and the practice location is in San Antonio, TX. The record was last updated on Aug 27, 2019.