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Organization
WEST SIDE PRIMARY HOME CARE INC
Active
Organization
WEST SIDE PRIMARY HOME CARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. EDNA VERNETTE CARRANZA MSN, RN (ADMINISTRATOR/OWNER)
(956) 723-1856
Entity
Organization
Contact information
Practice address
539 N GENERAL MCMULLEN DR, SUITE 106, SAN ANTONIO, TX 78228-6262
(210) 433-3133
(210) 433-3177
Mailing address
539 N GENERAL MCMULLEN DR, SUITE 106, SAN ANTONIO, TX 78228-6262
(210) 433-3133
(210) 433-3177
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
NULL
Other
Enumeration date
04/07/2011
Last updated
04/07/2011
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