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Organization
TWELVE LAC INC
Active
Organization
TWELVE LAC INC
Active
Other names
UNIQUE HOME HEALTH
Organization subpart
No
Provider details
NPI number
Authorized official
MS. YOLANDA G. RODRIGUEZ RN (CEO/PRESIDENT)
(210) 924-6077
Entity
Organization
Contact information
Practice address
637 CHALMERS AVE, SAN ANTONIO, TX 78214-1628
(210) 924-6077
(210) 924-6106
Mailing address
637 CHALMERS AVE, SAN ANTONIO, TX 78214-1628
(210) 924-6077
(210) 924-6106
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
011026
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
011026
HCSSA
TX
Enumeration date
06/28/2006
Last updated
10/25/2018
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