Organization
FIFTEEN LAC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CATHLEEN A BETHAY RN (CEO/PRESIDENT)
(210) 546-2147
Entity
Organization
Contact information
Practice address
13750 SAN PEDRO AVE, SUITE 600, SAN ANTONIO, TX 78232-4375
(210) 546-2147
(210) 546-2187
Mailing address
13750 SAN PEDRO AVE, SUITE 600, SAN ANTONIO, TX 78232-4375
(210) 546-2147
(210) 546-2187
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
010655
TX
Other
Enumeration date
07/06/2006
Last updated
08/22/2020
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