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Organization
PUEBLO DE SALUD HOME HEALTH SERVICES LLC
Active
Organization
PUEBLO DE SALUD HOME HEALTH SERVICES LLC
Active
Other names
Advanced Healthcare
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MAYRA E GAONA (ADMINISTRATOR)
(915) 590-3330
Entity
Organization
Contact information
Practice address
3431 PERSHING DR, STE A4, EL PASO, TX 79903-2754
(915) 590-3330
(915) 594-8245
Mailing address
PO BOX 26704, EL PASO, TX 79926-6704
(915) 590-3330
(915) 594-8245
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2051179
—
TX
Enumeration date
10/15/2006
Last updated
03/14/2017
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