Organization
JENNIFER'S HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JENNIFER ANN TRACY (OWNER)
(210) 251-2312
Entity
Organization
Contact information
Practice address
7616 RICHTER RD, ELMENDORF, TX 78112-9745
(210) 251-2312
Mailing address
7616 RICHTER RD, ELMENDORF, TX 78112-9745
(210) 251-2312
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
—
—
Other
Enumeration date
09/10/2009
Last updated
09/10/2009
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