Organization
AGELESS LIVING HOME HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PHILIP THOMAS (ADMINISTRATOR)
(210) 582-5840
Entity
Organization
Contact information
Practice address
3463 MAGIC DR, SUITE 350, SAN ANTONIO, TX 78229-2973
(210) 582-5840
(210) 582-5841
Mailing address
3463 MAGIC DR, SUITE 350, SAN ANTONIO, TX 78229-2973
(210) 582-5840
(210) 582-5841
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
63029
TX
Other
Enumeration date
08/28/2015
Last updated
08/28/2015
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