Organization
WEST SIDE PRIMARY HOME CARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. EDNA VERNETTE CARRANZA MSN, RN (ADMINISTRATOR/OWNER)
(956) 723-1856
Entity
Organization
Contact information
Practice address
539 N GENERAL MCMULLEN DR, SUITE 106, SAN ANTONIO, TX 78228-6262
(210) 433-3133
(210) 433-3177
Mailing address
539 N GENERAL MCMULLEN DR, SUITE 106, SAN ANTONIO, TX 78228-6262
(210) 433-3133
(210) 433-3177
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
04/07/2011
Last updated
04/07/2011
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