Organization
ST. LUKE HOMECARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY RICO (ADMINISTRATOR)
(210) 680-2500
Entity
Organization
Contact information
Practice address
5405 HURLEY DR, SAN ANTONIO, TX 78238-2414
(210) 680-2500
Mailing address
5405 HURLEY DR, SAN ANTONIO, TX 78238-2414
Taxonomy
Speciality
Code
Description
License number
State
163WA2000X
Administrator Registered Nurse
Primary
522455
TX
Other
Enumeration date
02/08/2007
Last updated
07/31/2008
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