Organization · NPI-2

Alliance Medical Supply, LLC

Nursing Care · San Antonio, TX

NPI number1316524549
StatusActive
Last updated in NPPESMar 17, 2023

Details

NPI
1316524549
Entity type
Organization (NPI-2)
Legal business name
Alliance Medical Supply, LLC
Organization subpart
Yes
Enumeration date
Mar 25, 2021
Certification date
Mar 17, 2023
Last updated
Mar 17, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
251J00000X Nursing Care––Yes

Other names

  • Pediatric Home Service (Doing Business As)

Practice location

1070 Arion Cir Ste 164
San Antonio, TX 78216-2839

Phone 210-737-2444 · Fax 210-737-2445

Mailing address

2800 Cleveland Ave N
Roseville, MN 55113-1126

Phone 651-642-1825

Authorized official

Cameo Kae Zehnder
Chief Administrative Officer
6516421825

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