# GREEN MOUNTAIN PERSONALIZED CARE, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Patriot Heights Personal Care
- **Organization subpart:** No

## Provider details

- **NPI number:** 1912530239
- **Authorized official:** TANGINA EDWARDS (PARALEGAL)
- **Authorized official phone:** (602) 313-4556

## Contact information

- **Practice address:** 5000 FAWN MEADOWS, SAN ANTONIO, TX 78240-1539
- **Practice address phone:** (210) 696-1539
- **Practice address fax:** (210) 641-7881
- **Mailing address:** 5000 FAWN MDWS, SAN ANTONIO, TX 78240-1539
- **Mailing address phone:** (210) 696-1539
- **Mailing address fax:** (210) 641-7881

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 02/14/2020
- **Last updated:** 02/14/2020