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Organization
PRIDE HEALTH CARE SERVICES INC.
Active
Organization
PRIDE HEALTH CARE SERVICES INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SANDRA J LONGORIA LVN (PRESIDENT / ADMINISTRATOR)
(210) 366-4272
Entity
Organization
Contact information
Practice address
7410 BLANCO RD, STE 101, SAN ANTONIO, TX 78216
(210) 366-4272
(210) 979-9953
Mailing address
7410 BLANCO RD, STE 101, SAN ANTONIO, TX 78216-4363
(210) 366-4272
(210) 979-9953
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
008962
TX
251E00000X
Home Health Agency
015756
TX
253Z00000X
In Home Supportive Care Agency
015756
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
184913501
TMHP - TEXAS PROVIDER IDENTIFIER (TPI)
TX
Enumeration date
10/23/2006
Last updated
02/10/2017
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