Provider Demographics
NPI:1295098721
Name:CYNTHIAS ASSISTED LIVING
Entity type:Organization
Organization Name:CYNTHIAS ASSISTED LIVING
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:CYNTHIA
Authorized Official - Middle Name:N
Authorized Official - Last Name:BERNAL
Authorized Official - Suffix:
Authorized Official - Credentials:PRESIDENT CEO
Authorized Official - Phone:210-744-7678
Mailing Address - Street 1:2714 TYNE DR
Mailing Address - Street 2:4718 WINNEWAY DR
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78222-1224
Mailing Address - Country:US
Mailing Address - Phone:210-648-9501
Mailing Address - Fax:210-648-9074
Practice Address - Street 1:2714 TYNE DR
Practice Address - Street 2:SAN ANTONIO
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78222-1224
Practice Address - Country:US
Practice Address - Phone:210-684-9501
Practice Address - Fax:210-648-9074
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-06-19
Last Update Date:2012-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP1600XBehavioral Health & Social Service ProvidersCounselorPastoralGroup - Single Specialty