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Organization
SAN ANTONIO REFUGEE YOUTH SPORTS AMERICA
Active
Organization
SAN ANTONIO REFUGEE YOUTH SPORTS AMERICA
Active
Other names
N/A
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DADIRI YUSSUF JAMA (EXECUTIVE DIDRECTOR)
(210) 875-0229
Entity
Organization
Contact information
Practice address
9650 DATAPOINT DR, SUITE 106, SAN ATNONIO, TX 78229
(210) 875-0229
(210) 593-0434
Mailing address
9650 DATAPOINT DR, SUITE 106, SAN ANTONIO, TX 78229-2389
(210) 875-0229
(210) 593-0434
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
014893
TX
253Z00000X
In Home Supportive Care Agency
014893
TX
Other
Enumeration date
10/05/2012
Last updated
11/10/2014
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