National Provider Identifier Database

GREAT LIFE SERVICES LLC
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities

A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities


Contact Information

GREAT LIFE SERVICES, LLC
16711 STONEY GLADE
SAN ANTONIO, TX78247
Phone: 210-656-1633
Fax: 210-579-1314
Website:
Specialty Taxonomy Code
* Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities 320900000X

* Indicates primary specialty

NPI Profile & details for GREAT LIFE SERVICES, LLC

NPI Number 1174978548
Legal business name
LBN
GREAT LIFE SERVICES, LLC
Authorized official GISELE SANTANA - (CEO)
Entity Organization
Organization subpart No
Enumeration date 05/04/2016
Last updated 01/05/2023 - About 3 years ago
Sole proprietor1 Not specified
Identifiers
  • TX Medicaid: 320900000X

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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