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Organization
PRIMAVERA HOME HEALTH, P.C.
Active
Organization
PRIMAVERA HOME HEALTH, P.C.
Active
Other names
Primavera Home Health PC
Organization subpart
No
Provider details
NPI number
Authorized official
SANDRA LUZ MORENO (ADMINISTRATOR)
(915) 771-8282
Entity
Organization
Contact information
Practice address
2829 MONTANA AVE STE 210, EL PASO, TX 79903-2431
(915) 771-8282
(915) 771-8989
Mailing address
2829 MONTANA AVE STE 210, EL PASO, TX 79903-2431
(915) 771-8282
(915) 771-8989
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
010611
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
159704901
—
TX
Enumeration date
10/10/2006
Last updated
11/16/2021
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