Organization
GREEN MOUNTAIN PERSONALIZED CARE, INC.
Active
Other names
Patriot Heights Personal Care
Organization subpart
No
Provider details
NPI number
Authorized official
TANGINA EDWARDS (PARALEGAL)
(602) 313-4556
Entity
Organization
Contact information
Practice address
5000 FAWN MEADOWS, SAN ANTONIO, TX 78240-1539
(210) 696-1539
(210) 641-7881
Mailing address
5000 FAWN MDWS, SAN ANTONIO, TX 78240-1539
(210) 696-1539
(210) 641-7881
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
02/14/2020
Last updated
02/14/2020
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