Healthcare Provider Details

I. General information

NPI: 1295954949
Provider Name (Legal Business Name): ARANDA FOSTER HOME
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/24/2007
Last Update Date: 06/23/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

223 ZACHRY DR
SAN ANTONIO TX
78228-4157
US

IV. Provider business mailing address

223 ZACHRY DR
SAN ANTONIO TX
78228-4157
US

V. Phone/Fax

Practice location:
  • Phone: 210-436-7446
  • Fax: 210-436-7446
Mailing address:
  • Phone: 210-436-7446
  • Fax: 210-436-7446

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code311ZA0620X
TaxonomyAdult Care Home Facility
License Number
License Number State

VIII. Authorized Official

Name: NORMA ARANDA
Title or Position: OWNER
Credential:
Phone: 210-436-7446