# LA AMISTAD PROVIDER SERVICES

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1093163529
- **Authorized official:** FELIPITA BASTIDA (ADMINISTRATOR)
- **Authorized official phone:** (361) 318-9015

## Contact information

- **Practice address:** 401 N MONROE ST, BEEVILLE, TX 78102-4433
- **Practice address phone:** (361) 318-9015
- **Practice address fax:** (361) 358-8058
- **Mailing address:** 401 N MONROE ST, BEEVILLE, TX 78102-4433
- **Mailing address phone:** (361) 318-9015
- **Mailing address fax:** (361) 358-8058

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 05/25/2016
- **Last updated:** 03/26/2024