# THE INGRAM HOME

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1982863445
- **Authorized official:** ALICIA RODRIGUEZ (ADMINISTRATOR)
- **Authorized official phone:** (210) 219-0282

## Contact information

- **Practice address:** 5018 INGRAM RD, SAN ANTONIO, TX 78228-3746
- **Practice address phone:** (210) 432-2116
- **Mailing address:** 5018 INGRAM RD, SAN ANTONIO, TX 78228-3746

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251K00000X | Public Health or Welfare Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 06/09/2008
- **Last updated:** 06/09/2008