# AETNA HOME HEALTH SERVICE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1285010884
- **Authorized official:** MOSES M BULAMBO RN (ADMINISTRATOR)
- **Authorized official phone:** (210) 630-0030

## Contact information

- **Practice address:** 8100 ROUGHRIDER DR, SUITE 103, SAN ANTONIO, TX 78239
- **Practice address phone:** (210) 900-0729
- **Mailing address:** 8100 ROUGHRIDER DR, SUITE 103, SAN ANTONIO, TX 78239
- **Mailing address phone:** (210) 900-0729

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 08/05/2015
- **Last updated:** 08/05/2015