Organization
EN SU CASA PRIMARY HOME CARE SERVICES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LINDA SMITH (CEO)
(210) 403-3210
Entity
Organization
Contact information
Practice address
2600 SW MILITARY DR STE 207, SAN ANTONIO, TX 78224
(210) 922-2960
(210) 923-7325
Mailing address
401 S PRESA ST, SAN ANTONIO, TX 78205-3426
(210) 403-3210
(210) 403-0360
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
001013621
TX
253Z00000X
In Home Supportive Care Agency
—
—
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001013621
—
TX
Enumeration date
11/07/2006
Last updated
01/23/2019
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