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Organization

CLJ HOME HEALTHCARE, LLC

Active
Other names
Affinity Pediatric Home Healthcare
Organization subpart
No

Provider details

NPI number
Authorized official
TERESA A GUTIERREZ RN (ADMINISTRATOR/OWNER)
(210) 310-9733
Entity
Organization

Contact information

Practice address
1003 BECKETT STE 120, SAN ANTONIO, TX 78213-1353
(210) 824-1140
(210) 824-1170
Mailing address
1003 BECKETT STE 120, SAN ANTONIO, TX 78213-1353
(210) 824-1140
(210) 824-1170

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
251J00000X
Nursing Care Agency
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
373537501
TX
Enumeration date
02/27/2017
Last updated
02/10/2025
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