Organization
ANGELO KIDNEY CONNECTION AT HOME, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELANIE L. BARRERA (ADMINISTRATOR)
(325) 212-0319
Entity
Organization
Contact information
Practice address
2901 SHERWOOD WAY, SUITE 100, SAN ANGELO, TX 76901-3586
(325) 617-2496
Mailing address
PO BOX 61074, SAN ANGELO, TX 76906-1074
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
11/14/2013
Last updated
11/14/2013
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