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Organization
SIX LAC INC
Active
Organization
SIX LAC INC
Active
Other names
Care Home Services
Organization subpart
No
Provider details
NPI number
Authorized official
MISS KARA N. VELA (PRESIDENT)
(210) 404-1500
Entity
Organization
Contact information
Practice address
7400 BLANCO RD, SUITE 132, SAN ANTONIO, TX 78216-4360
(210) 404-1500
(210) 404-1502
Mailing address
7400 BLANCO RD, SUITE 132, SAN ANTONIO, TX 78216-4360
(210) 404-1500
(210) 404-1502
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
011902
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
011902
TDADS LICENSE
TX
Enumeration date
06/11/2006
Last updated
10/05/2010
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