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Organization

DEVINECARE SERVICES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
AQUEEN C ANYANWU (ADMINISTRATOR)
(210) 462-9955
Entity
Organization

Contact information

Practice address
22006 RANIER LN, SAN ANTONIO, TX 78260-2603
(210) 462-9955
Mailing address
22006 RANIER LN, SAN ANTONIO, TX 78260-2603
(210) 462-9955

Taxonomy

Speciality
Code
Description
License number
State
311Z00000X
Custodial Care Facility
Primary

Other

Enumeration date
08/15/2012
Last updated
08/15/2012
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