# BUENA VIDA PROVIDERS LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Buena Vida Providers
- **Organization subpart:** No

## Provider details

- **NPI number:** 1730455452
- **Authorized official:** MR. JOHN E EDEL (MEMBER)
- **Authorized official phone:** (713) 302-2007

## Contact information

- **Practice address:** 10315 RUDOLPH CT, MISSOURI CITY, TX 77459-2663
- **Practice address phone:** (713) 302-2007
- **Mailing address:** 10315 RUDOLPH CT, MISSOURI CITY, TX 77459-2663
- **Mailing address phone:** (713) 302-2007

## Taxonomy

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

## Other

- **Enumeration date:** 03/27/2012
- **Last updated:** 03/27/2012