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NPI 1023196573

NPI 1023196573 : ALAMO HOME CARE INC : SAN ANTONIO, TX

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General NPI Number Information
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    NPI Number           |    1023196573
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    Entity Type          |    Organization 
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    Legal Business Name  |    ALAMO HOME CARE INC 
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Dates
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    Enumeration Date     |    11/01/2006
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    Last Update Date     |    08/22/2020
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Provider Practice Location Address
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    Address Line         |    4204 GARDENDALE SUITE 322
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    City                 |    SAN ANTONIO
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    State                |    TX
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    Zip                  |    78229
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    Country              |    US
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    Telephone            |    210-682-5678
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    Fax                  |    210-681-1794
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Provider Business Mailing Address
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    Address Line         |    4204 GARDENDALE SUITE 322
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    City                 |    SAN ANTONIO
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    State                |    TX
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    Zip                  |    78229
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    Country              |    US
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    Telephone            |    210-682-5678
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    Fax                  |    210-681-1794
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Authorized Official
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    Title or Position    |    ADMINISTRATOR CEO
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    Name                 |     ABARHAM  LOPEZ 
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    Credential           |    
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    Telephone            |    210-682-5780
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    251E00000X
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    Taxonomy Name        |    Home Health Agency
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    License Number       |    008139
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    License Number State |    TX
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