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Organization
TRINIDAD PHC
Active
Organization
TRINIDAD PHC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IRAZEMA ROBERTS (OWNER)
(956) 748-2657
Entity
Organization
Contact information
Practice address
102 E. COLORADO AVE., RIO HONDO, TX 78583-0247
(956) 748-2657
(956) 748-2667
Mailing address
P.O. BOX 247, RIO HONDO, TX 78583-0247
(956) 748-2657
(956) 748-2667
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
NULL
3747P1801X
Personal Care Attendant
—
NULL
3747P1801X
Personal Care Attendant
—
—
Other
Enumeration date
07/27/2009
Last updated
06/04/2024
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