Organization
AT HOME MEDICATION MANAGEMENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KELLIEN LINETTE GOINS RN (MANAGER/MEMBER)
(210) 683-8951
Entity
Organization
Contact information
Practice address
4414 CENTERVIEW, STE 165, SAN ANTONIO, TX 78228-1418
(210) 683-8951
(210) 963-6804
Mailing address
4414 CENTERVIEW, SAN ANTONIO, TX 78228-1418
(210) 683-8951
(210) 963-6804
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
843939
TX
Other
Enumeration date
02/20/2017
Last updated
02/20/2017
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