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Organization
PENJAMO INC.
Active
Organization
PENJAMO INC.
Active
Other names
OUR BROTHER'S KEEPER PROVIDER SERVICES
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LUIS ALONSO SILVA (DIR OF PAS)
(361) 562-1068
Entity
Organization
Contact information
Practice address
308 COUNTY ROAD 140, ALICE, TX 78332-7636
(361) 562-1068
Mailing address
PO BOX 1758, ALICE, TX 78333-1758
(361) 562-1068
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
010736
TX
Other
Enumeration date
03/02/2008
Last updated
06/30/2008
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