Provider Demographics
NPI:1427523687
Name:EMPIRE RESIDENTIAL SERVICES
Entity type:Organization
Organization Name:EMPIRE RESIDENTIAL SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JOSEPHINE
Authorized Official - Middle Name:
Authorized Official - Last Name:KILONZO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-277-8615
Mailing Address - Street 1:514 MORGAN POINTE
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78260-3535
Mailing Address - Country:US
Mailing Address - Phone:713-277-8615
Mailing Address - Fax:
Practice Address - Street 1:514 MORGAN POINTE
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78260-3535
Practice Address - Country:US
Practice Address - Phone:713-277-8615
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-10-03
Last Update Date:2018-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care