NPI 1821465204
Affordable Venture Home Healthcare LLC
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
PACE Provider Organization
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.