Provider Demographics
NPI:1932133683
Name:ALAMO CARE HEALTH SERVICES, INC.
Entity Type:Organization
Organization Name:ALAMO CARE HEALTH SERVICES, INC.
Other - Org Name:ALAMOCARE ADULT ACTIVITY DAYCARE
Other - Org Type:Other Name
Authorized Official - Title/Position:CEO-PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:ELIZABETH
Authorized Official - Middle Name:
Authorized Official - Last Name:LEAL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:210-435-7800
Mailing Address - Street 1:1300 WEST AVE
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78201-3501
Mailing Address - Country:US
Mailing Address - Phone:210-435-7800
Mailing Address - Fax:210-433-9882
Practice Address - Street 1:1300 WEST AVE
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78201-3501
Practice Address - Country:US
Practice Address - Phone:210-435-7800
Practice Address - Fax:210-433-9882
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-10
Last Update Date:2019-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX117557251C00000X
261QA0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care
No251C00000XAgenciesDay Training, Developmentally Disabled Services