Provider Demographics
NPI:1881151918
Name:UNITED APOLLO LLC
Entity type:Organization
Organization Name:UNITED APOLLO LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:ADMIN
Authorized Official - Prefix:
Authorized Official - First Name:KEDRA
Authorized Official - Middle Name:BROOKE
Authorized Official - Last Name:LAMB
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:210-817-4746
Mailing Address - Street 1:5718 UNIVERSITY HEIGHTS BLVD
Mailing Address - Street 2:203
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78249-2840
Mailing Address - Country:US
Mailing Address - Phone:210-817-4746
Mailing Address - Fax:210-817-4750
Practice Address - Street 1:5718 UNIVERSITY HEIGHTS BLVD
Practice Address - Street 2:203
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78249-2840
Practice Address - Country:US
Practice Address - Phone:210-817-4746
Practice Address - Fax:210-817-4750
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-02-25
Last Update Date:2023-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based