45D0975483 CLIA NUMBER - BEXAR COUNTY HOME CARE

Laboratory Demographics

CLIA Number: 45D0975483

Facility Name: BEXAR COUNTY HOME CARE

Facility Address:
6738 PARK HAVEN
SAN ANTONIO, TX
ZIP 78244
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Facility Phone Number: 210 661-1338

Facility Type: Intermediate Care Facility for Mentally Retarded

Certificate Type: Waiver

NPI Number: 1285702258

Taxonomy: 315P00000X - Intermediate Care Facility, Intellectual Disabilities
An intermediate care facility providing services for individuals with intellectual disabilities.

CLIA Record

Field Name	Field Value
CLIA Number	45D0975483
LAB Type	Intermediate Care Facility for Mentally Retarded
Facility Name	BEXAR COUNTY HOME CARE
Street	6738 PARK HAVEN
City	SAN ANTONIO
State	TX
ZIP	78244
Phone	210 661-1338
CertificateType	4
CertificateEffectiveDate	7/10/2022
CertificateExpirationDate	7/9/2024
FacilityType	Waiver

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This page was last updated on: 4/23/2024