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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