| Sistercare Llc | |
|
6322 Sovereign St Ste 139 San Antonio TX 78229-5133 | |
| (210) 386-2993 | |
| Not Available |
| Full Name | Sistercare Llc |
|---|---|
| Speciality | Case Management |
| Location | 6322 Sovereign St Ste 139, San Antonio, Texas |
| Authorized Official Name and Position | Kelley Logans-ali (OWNER) |
| Authorized Official Contact | 2103862993 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sistercare Llc 6322 Sovereign St Ste 139 San Antonio TX 78229-5133 Ph: (210) 386-2993 | Sistercare Llc 6322 Sovereign St Ste 139 San Antonio TX 78229-5133 Ph: (210) 386-2993 |
| NPI Number | 1275013328 |
|---|---|
| Provider Enumeration Date | 08/17/2018 |
| Last Update Date | 11/05/2024 |
| Certification Date | 11/05/2024 |
| Medicare PECOS PAC ID | 7012256985 |
|---|---|
| Medicare Enrollment ID | O20190312000806 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275013328 | NPI | - | NPPES |
| Provider Name | Kelley P Logans-ali |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1013057058 PECOS PAC ID: 9638350861 Enrollment ID: I20110222000507 |
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