Organization
BEXAR COUNTY HOME CARE, INC.
Active
Other names
Crater Lake Home
Organization subpart
No
Provider details
NPI number
Authorized official
SYLVIA ARRIOLA JD (PRESIDENT/ADMINISTRATOR)
(210) 661-6262
Entity
Organization
Contact information
Practice address
5707 CRATER LAKE DR, SAN ANTONIO, TX 78244-1604
(210) 447-7233
Mailing address
PO BOX 100347, SAN ANTONIO, TX 78201-1647
(210) 661-6262
(210) 661-2620
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
114060
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000755801
PROVIDER NUMBER
TX
Enumeration date
11/30/2006
Last updated
09/10/2021
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