MEDICARE: ARANDA FOSTER HOME

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	311ZA0620X	Adult Care Home Facility

General Provider Information

NPI Number	:	1295954949
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ARANDA FOSTER HOME

Provider Business Mailing Address
First Line	:	223 ZACHRY DR
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78228-4157
Country	:	US
Telephone Number	:	210-436-7446
Fax Number	:	210-436-7446

Provider Business Practice Location Address
First Line	:	223 ZACHRY DR
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78228-4157
Country	:	US
Telephone Number	:	210-436-7446
Fax Number	:	210-436-7446

Authorized Official
Title or Position	:	OWNER
Name	:	NORMA ARANDA
Credential	:
Telephone Number	:	210-436-7446

Provider Enumeration Date	:	04/24/2007
Last Update Date	:	06/23/2008

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