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Organization
SAN JUAN PRIMARY HOME CARE AGENCY LLC
Active
Organization
SAN JUAN PRIMARY HOME CARE AGENCY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. AUGUSTIN ESTRADA III (ADMINISTRATOR)
(210) 927-7712
Entity
Organization
Contact information
Practice address
545 MOURSUND BOULEVARD, SAN ANTONIO, TX 78221
(210) 927-7712
(210) 927-7713
Mailing address
545 MOURSUND BLVD, SAN ANTONIO, TX 78221-3938
(210) 927-7712
(210) 927-7713
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
3747P1801X
Personal Care Attendant
—
—
Other
Enumeration date
11/28/2023
Last updated
05/31/2024
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