Organization
AFFORDABLE VENTURE HOME HEALTHCARE LLC
Active
Organization
AFFORDABLE VENTURE HOME HEALTHCARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALICE MANYONG ENYONG LVN, BSA (OWNER)
(617) 230-4437
Entity
Organization
Contact information
Practice address
8626 TESORO DR STE 205G, SAN ANTONIO, TX 78217-6217
(210) 562-3474
(210) 562-3429
Mailing address
12900 E LOOP 1604 N APT 911, UNIVERSAL CITY, TX 78148-3177
Taxonomy
Speciality
Code
Description
License number
State
251T00000X
PACE Provider Organization
016973
TX
252Y00000X
Early Intervention Provider Agency
Primary
016973
TX
Other
Enumeration date
09/01/2015
Last updated
09/01/2015
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