Provider Demographics
NPI:1649885476
Name:ALLWELL CARE,LLC
Entity type:Organization
Organization Name:ALLWELL CARE,LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF PATIENT CARE
Authorized Official - Prefix:
Authorized Official - First Name:STEPHEN
Authorized Official - Middle Name:TOKUNBO
Authorized Official - Last Name:OYINLOYE
Authorized Official - Suffix:
Authorized Official - Credentials:REGISTERED NURSE
Authorized Official - Phone:210-595-1146
Mailing Address - Street 1:4211 GARDENDALE ST STE 102A
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78229-3143
Mailing Address - Country:US
Mailing Address - Phone:210-595-1146
Mailing Address - Fax:210-595-1148
Practice Address - Street 1:4211 GARDENDALE ST STE 102A102
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78229-3180
Practice Address - Country:US
Practice Address - Phone:210-595-1146
Practice Address - Fax:210-595-1148
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-09-09
Last Update Date:2020-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based