MEDICARE: VOYAGES OF SAN ANTONIO LLC

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	282N00000X	General Acute Care Hospital

General Provider Information

NPI Number	:	1457096265
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	VOYAGES OF SAN ANTONIO LLC

Provider Business Mailing Address
First Line	:	1828 GOOD HOPE RD STE 102
Second Line	:
City	:	ENOLA
State	:	PA
Zip	:	17025-1203
Country	:	US
Telephone Number	:	717-731-9660
Fax Number	:

Provider Business Practice Location Address
First Line	:	14747 JONES MALTSBERGER RD
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78247-3713
Country	:	US
Telephone Number	:	717-731-9660
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	ANTHONY MISITANO
Credential	:
Telephone Number	:	717-731-9660

Provider Enumeration Date	:	05/05/2022
Last Update Date	:	05/05/2022

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Directions to “VOYAGES OF SAN ANTONIO LLC ” Practice Location

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