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Organization
FAJARDO HOME CARE PROGRAM, INC.
Active
Organization
FAJARDO HOME CARE PROGRAM, INC.
Active
Other names
CUIDADO CASERO FAJARDO
Organization subpart
No
Provider details
NPI number
Authorized official
CARMEN SANTIAGO DRPH (CEO)
(817) 310-1100
Entity
Organization
Contact information
Practice address
375 AVE GENERAL VALERO, SUITE 109, FAJARDO, PR 00738-4893
(787) 868-6361
(787) 850-5270
Mailing address
1110 N CARROLL AVE, SOUTHLAKE, TX 76092-5306
(817) 310-1100
(817) 310-1197
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
11621
PR
Other
Enumeration date
07/12/2006
Last updated
09/11/2009
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