Organization
BLADEE ENTERPRISE INTERNATIONAL COMPANY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WELLINGTON CARNGBE (PRESIDENT)
(210) 632-7758
Entity
Organization
Contact information
Practice address
4006 ESPADA LEDGE, SAN ANTONIO, TX 78222-3476
(210) 632-7758
Mailing address
4006 ESPADA LEDGE, SAN ANTONIO, TX 78222-3476
(210) 632-7758
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
01/04/2021
Last updated
11/11/2022
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