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NPI Code Detail

MEDICARE: BASIC NURSING SERVICES INC

MEDICARE: BASIC NURSING SERVICES INC
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
1251E00000XHome Health Agency004287TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1004287OTHERTXSTATE LICENSE

General Provider Information

NPI Number : 1417908351
Entity Type Code : Organization
Provider Name (Legal Business Name) : BASIC NURSING SERVICES INC
Provider Business Mailing Address
First Line : 5411 JACKWOOD DR
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78238-1809
Country : US
Telephone Number : 210-798-1483
Fax Number : 210-798-1487
Provider Business Practice Location Address
First Line : 5411 JACKWOOD DR
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78238-1809
Country : US
Telephone Number : 210-798-1483
Fax Number : 210-798-1487
Authorized Official
Title or Position : ADMINISTRATOR
Name : MS. BETTINA MARIE RIZZUTO
Credential : MAA
Telephone Number : 210-798-1483
Provider Enumeration Date : 05/15/2006
Last Update Date : 11/22/2010

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Directions to “BASIC NURSING SERVICES INC ” Practice Location

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