Provider Demographics
NPI:1043633357
Name:SAN ANTONIO SIMPLY LOVE ALL PEOPLE INC.
Entity type:Organization
Organization Name:SAN ANTONIO SIMPLY LOVE ALL PEOPLE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:GEORGE
Authorized Official - Middle Name:A
Authorized Official - Last Name:WILLIAMS
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:210-693-3733
Mailing Address - Street 1:8165 LATIGO PLZ
Mailing Address - Street 2:1106 HIDDEN POND
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78227-2553
Mailing Address - Country:US
Mailing Address - Phone:210-693-3733
Mailing Address - Fax:
Practice Address - Street 1:8165 LATIGO PLZ
Practice Address - Street 2:1106 HIDDEN POND
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78227-2553
Practice Address - Country:US
Practice Address - Phone:210-693-3733
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-01-23
Last Update Date:2014-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX251C00000X
TX11002066711253J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253J00000XAgenciesFoster Care Agency
No251C00000XAgenciesDay Training, Developmentally Disabled Services