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Organization
SAN RAFAEL HEALTHCARE, INC
Active
Organization
SAN RAFAEL HEALTHCARE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN C FARIAS (PRESIDENT)
(956) 203-7029
Entity
Organization
Contact information
Practice address
4203 GARDENDALE ST STE C105, SAN ANTONIO, TX 78229-3174
(210) 255-1466
(210) 255-1488
Mailing address
4203 GARDENDALE ST STE C-105, SAN ANTONIO, TX 78229-3174
(956) 203-7029
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
015847
TX
251J00000X
Nursing Care Agency
015847
TX
253Z00000X
In Home Supportive Care Agency
015847
TX
Other
Enumeration date
03/21/2013
Last updated
07/31/2023
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