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Organization
SWEET PEAS'S PEDI CARE, INC
Active
Organization
SWEET PEAS'S PEDI CARE, INC
Active
Other names
Sweet Peas's Pedi Care, Inc
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GLENN R ALEXANDER (CEO)
(210) 824-1833
Entity
Organization
Contact information
Practice address
6326 SOVEREIGN ST, SUITE 102, SAN ANTONIO, TX 78229-5139
(210) 824-1833
(210) 824-1835
Mailing address
6326 SOVEREIGN ST, SUITE 102, SAN ANTONIO, TX 78229-5139
(210) 824-1833
(210) 824-1835
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
015902
TX
251J00000X
Nursing Care Agency
015902
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
340528401
—
TX
Enumeration date
09/12/2012
Last updated
02/26/2015
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