| Milagro Discovery Home And Community Healthcare Service | |
|
6810 Bandera Rd Ste 1 San Antonio TX 78238-1468 | |
| (210) 446-4706 | |
| Not Available |
| Full Name | Milagro Discovery Home And Community Healthcare Service |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 6810 Bandera Rd Ste 1, San Antonio, Texas |
| Authorized Official Name and Position | Carla Evette Thomas (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 2108151385 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Milagro Discovery Home And Community Healthcare Service Po Box 760595 San Antonio TX 78245-0595 Ph: (210) 815-1385 | Milagro Discovery Home And Community Healthcare Service 6810 Bandera Rd Ste 1 San Antonio TX 78238-1468 Ph: (210) 446-4706 |
| NPI Number | 1487837316 |
|---|---|
| Provider Enumeration Date | 12/13/2007 |
| Last Update Date | 11/19/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487837316 | NPI | - | NPPES |
| 3498107 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| 261QA0600X | Clinic/center - Adult Day Care | 143171 (Texas) | Secondary |
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