Organization
AMAZING LIFE HOME HEALTHCARE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KASEY JO DORN (PRESIDENT/CEO)
(210) 884-4955
Entity
Organization
Contact information
Practice address
21739 HARDY OAK BLVD, 5108, SAN ANTONIO, TX 78258-2360
(210) 884-4955
Mailing address
19141 STONE OAK PKWY, STE 104, SAN ANTONIO, TX 78258-3366
(210) 884-4955
Taxonomy
Speciality
Code
Description
License number
State
282E00000X
Long Term Care Hospital
Primary
—
—
Other
Enumeration date
08/28/2009
Last updated
08/28/2009
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