MEDICARE: UNITED APOLLO 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	251G00000X	Community Based Hospice Care Agency

General Provider Information

NPI Number	:	1881151918
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	UNITED APOLLO LLC

Provider Business Mailing Address
First Line	:	5718 UNIVERSITY HEIGHTS BLVD
Second Line	:	203
City	:	SAN ANTONIO
State	:	TX
Zip	:	78249-2840
Country	:	US
Telephone Number	:	210-817-4746
Fax Number	:	210-817-4750

Provider Business Practice Location Address
First Line	:	5718 UNIVERSITY HEIGHTS BLVD
Second Line	:	203
City	:	SAN ANTONIO
State	:	TX
Zip	:	78249-2840
Country	:	US
Telephone Number	:	210-817-4746
Fax Number	:	210-817-4750

Authorized Official
Title or Position	:	ADMIN
Name	:	KEDRA BROOKE LAMB
Credential	:
Telephone Number	:	210-817-4746

Provider Enumeration Date	:	02/25/2019
Last Update Date	:	05/09/2023

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Directions to “UNITED APOLLO LLC ” Practice Location

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