Organization
AETNA HOME HEALTH SERVICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MOSES M BULAMBO RN (ADMINISTRATOR)
(210) 630-0030
Entity
Organization
Contact information
Practice address
8100 ROUGHRIDER DR, SUITE 103, SAN ANTONIO, TX 78239
(210) 900-0729
Mailing address
8100 ROUGHRIDER DR, SUITE 103, SAN ANTONIO, TX 78239
(210) 900-0729
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
08/05/2015
Last updated
08/05/2015
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