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Organization

HOPE RESIDENTIAL CARE SERVICES INC

Active
Other names
Diabetic Shoes & Medical Supplies
Organization subpart
No

Provider details

NPI number
Authorized official
GODWIN ALIGBE CERTIFIED PEDORTHIST (CEO)
(210) 541-0056
Entity
Organization

Contact information

Practice address
5112 FREDERICKSBURG RD, SAN ANTONIO, TX 78229-3634
(210) 541-0056
(210) 541-8003
Mailing address
5112 FREDERICKSBURG RD, SAN ANTONIO, TX 78229-3634
(210) 541-0056
(210) 541-8003

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
0082273
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
174958201
TX
05
174958202
TX
Enumeration date
06/02/2006
Last updated
08/10/2012
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