Organization
TEXCARE ADULT DAY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAWRENCE AGBOO OSEGHAE M.B.A., R.N. (ADMINISTRATOR)
(210) 541-8111
Entity
Organization
Contact information
Practice address
1915 LA MANDA BLVD, SAN ANTONIO, TX 78201-2228
(210) 541-8111
(210) 541-8110
Mailing address
1915 LA MANDA BLVD, SAN ANTONIO, TX 78201-2228
(210) 541-8111
(210) 541-8110
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
117124
TX
Other
Enumeration date
02/01/2007
Last updated
08/22/2020
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