# OUR COMMUNITYPRIMARY HOME CARE SERVICES

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

## Provider details

- **NPI number:** 1104310044
- **Authorized official:** MS. CORINA GONZALEZ (ADMINISTRATOR)
- **Authorized official phone:** (956) 650-4632

## Contact information

- **Practice address:** 341 EVA STREET, ELSA, TX 78543-0813
- **Practice address phone:** (956) 262-9281
- **Practice address fax:** (956) 262-9288
- **Mailing address:** PO BOX 813, ELSA, TX 78543-0813
- **Mailing address phone:** (956) 262-9281
- **Mailing address fax:** (956) 262-9288

## Taxonomy

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

## Other

- **Enumeration date:** 06/14/2018
- **Last updated:** 06/14/2018