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Organization

THE INGRAM HOME

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ALICIA RODRIGUEZ (ADMINISTRATOR)
(210) 219-0282
Entity
Organization

Contact information

Practice address
5018 INGRAM RD, SAN ANTONIO, TX 78228-3746
(210) 432-2116
Mailing address
5018 INGRAM RD, SAN ANTONIO, TX 78228-3746

Taxonomy

Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary

Other

Enumeration date
06/09/2008
Last updated
06/09/2008
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