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Organization

ELLA AUSTIN COMMUNITY CENTER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. ANTHONY EDWARD HARGROVE (EXECUTIVE DIRECTOR)
(210) 224-2351
Entity
Organization

Contact information

Practice address
1023 N PINE ST, SAN ANTONIO, TX 78202-1203
(210) 224-2351
(210) 229-9126
Mailing address
PO BOX 8147, SAN ANTONIO, TX 78208-0147
(210) 224-2351
(210) 229-9126

Taxonomy

Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
121190
TX

Other

Enumeration date
01/10/2008
Last updated
01/10/2008
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