COSTANCE Y STATEN, DIRECTOR SAN ANTONIO, TX

Contact Information

COSTANCE Y STATEN, DIRECTOR

7000 GULFSHORE
SAN ANTONIO, TX 78244

Phone: 210-707-7784
Fax:
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Assisted Living Facility	310400000X
Assisted Living, Behavioral Disturbances	3104A0630X
Assisted Living, Mental Illness	3104A0625X

Indicates primary specialty

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NPI Profile & details for COSTANCE Y STATEN · (Female)

NPI #	`1588822308`
Status	Active
Credentials	DIRECTOR
Entity	Individual
Enumeration date	05/29/2008
Last updated	05/29/2008 - About 18 years ago
Sole proprietor ¹	Yes
Identifiers	TX License # 121763 TX License # 21763 TX Medicaid 51430089
Hospital affiliation(s)	Not Available

¹ A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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