Organization
PROFESSIONAL CARE HOME HEALTH INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LARA ELIZABETH PINSON (ADMINISTRATOR)
(210) 342-3464
Entity
Organization
Contact information
Practice address
9516 CONTESSA DR, SAN ANTONIO, TX 78216-5109
(210) 342-3464
(210) 348-7074
Mailing address
9516 CONTESSA DR, SAN ANTONIO, TX 78216-5109
(210) 342-3464
(210) 348-7074
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000699600
—
TX
05
—
001001135
—
TX
Enumeration date
03/07/2007
Last updated
09/18/2020
Update your record
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