Whalio Doctors

NPI 1821465204

Affordable Venture Home Healthcare LLC

Organisation Early Intervention Provider Agency San Antonio, TX

Practice location

Address
8626 Tesoro Dr STE 205g, San Antonio, TX 78217-6217
Phone
(210) 562-3474
Fax
(210) 562-3429
Mailing address
12900 E Loop 1604 N APT 911, Universal City, TX 78148-3177

Authorised official

Name
Alice Manyong Enyong
Title
Owner
Phone
(617) 230-4437

Registered specialties (2)

Early Intervention Provider Agency Primary
Agencies Taxonomy 252Y00000X Licence 016973 (TX)
PACE Provider Organization
Agencies Taxonomy 251T00000X Licence 016973 (TX)

Registry record

NPI
1821465204
Entity type
Organization
NPI issued
1 Sep 2015
Record last updated
1 Sep 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.