Organization
PRIMAVERA PRIMARY HOME CARE, INC
Active
Other names
same
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM D CANELA (GENERAL MANAGER)
(210) 389-5935
Entity
Organization
Contact information
Practice address
1007 FAIR, SAN ANTONIO, TX 78223
(210) 389-5935
Mailing address
PO BOX 23067, SAN ANTONIO, TX 78223-0067
(210) 389-5935
Taxonomy
Speciality
Code
Description
License number
State
311Z00000X
Custodial Care Facility
Primary
—
—
Other
Enumeration date
11/17/2010
Last updated
11/17/2010
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