Organization
CONCORD HOME CARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. IFEOMA JACQUELINE OKOLO RN (CEO)
(210) 731-8996
Entity
Organization
Contact information
Practice address
303 W SUNSET RD, SAN ANTONIO, TX 78209-1749
(210) 822-9507
(210) 822-9564
Mailing address
303 W SUNSET RD, SUITE 200, SAN ANTONIO, TX 78209-1749
(210) 731-8996
(210) 731-8895
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
005170
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
024184602
—
TX
05
—
024184603
—
TX
Enumeration date
01/11/2007
Last updated
10/20/2010
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