Organization
AMISTAD HOMECARE, INC
Active
Other names
Amistad Homecare,Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
RAMONA DIEGO (CEO/ADMINISTRATOR)
(210) 474-0037
Entity
Organization
Contact information
Practice address
613 NW LOOP 410 STE 630, SAN ANTONIO, TX 78216-5507
(210) 474-0037
(210) 474-0067
Mailing address
613 NW LOOP 410 STE 630, SAN ANTONIO, TX 78216-5507
(210) 474-0037
(210) 474-0067
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
008287
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
161734201
—
TX
Enumeration date
09/22/2005
Last updated
05/06/2025
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