# NUESTROS ANGELES DE LA GUARDIA PRIMARY HOME CARE LIMITED LIABILITY COM

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

## Provider details

- **NPI number:** 1295076883
- **Authorized official:** MR. GERARDO HUERTA JR. (MEMBER)
- **Authorized official phone:** (956) 458-8043

## Contact information

- **Practice address:** 3400 SANTA OLICIA STE B, MISSION, TX 78572-1234
- **Practice address phone:** (956) 458-8043
- **Mailing address:** 3400 SANTA OLIVIA STE B, MISSION, TX 78572-8631

## Taxonomy

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

## Other

- **Enumeration date:** 03/07/2013
- **Last updated:** 03/07/2013