MEDICARE: COMMUNITY MEDICAL STAFFING LTD

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	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1134423080
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COMMUNITY MEDICAL STAFFING LTD

Provider Business Mailing Address
First Line	:	903 E BITTERS RD
Second Line	:	SUITE 305
City	:	SAN ANTONIO
State	:	TX
Zip	:	78216-2302
Country	:	US
Telephone Number	:	210-641-1770
Fax Number	:	210-641-0757

Provider Business Practice Location Address
First Line	:	903 E BITTERS RD
Second Line	:	STE. 305
City	:	SAN ANTONIO
State	:	TX
Zip	:	78216-2302
Country	:	US
Telephone Number	:	210-641-1770
Fax Number	:	210-641-0757

Authorized Official
Title or Position	:	EXECUTIVE DIRECTOR/ADMINISTRATOR
Name	:	CARMEN DAWSON
Credential	:
Telephone Number	:	210-641-1770

Provider Enumeration Date	:	01/07/2011
Last Update Date	:	01/07/2011

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