Organization
TORCH OF LIBERTY INITIATIVE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAPHAEL OCHEJE ED (EXECUTIVE DIRECTOR)
(432) 210-3858
Entity
Organization
Contact information
Practice address
1615 BRIAR SPG, SAN ANTONIO, TX 78245-2059
(432) 210-3858
Mailing address
1615 BRIAR SPG, SAN ANTONIO, TX 78245-2059
(432) 210-3858
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
—
—
347C00000X
Private Vehicle
Primary
—
—
Other
Enumeration date
10/03/2022
Last updated
10/03/2022
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