Organization
IV LEAGUE NURSE CONCIERGE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIA ANGELINA ROSADO LIGHTFOOT RN (CEO)
(210) 860-7195
Entity
Organization
Contact information
Practice address
22610 US HIGHWAY 281 N STE 206, SAN ANTONIO, TX 78258-7562
(210) 860-7195
Mailing address
23206 WOODLAWN RDG, SAN ANTONIO, TX 78259-2262
(706) 617-7459
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251F00000X
Home Infusion Agency
—
—
251J00000X
Nursing Care Agency
Primary
—
—
253Z00000X
In Home Supportive Care Agency
—
—
261QH0100X
Health Service Clinic/Center
—
—
261QI0500X
Infusion Therapy Clinic/Center
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
335E00000X
Prosthetic/Orthotic Supplier
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
Other
Enumeration date
09/04/2021
Last updated
08/22/2023
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