# SANTA ROSA PRIMARY HOME CARE

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

## Provider details

- **NPI number:** 1740055516
- **Authorized official:** MRS. VERONICA LOPEZ (ADMINISTRATOR)
- **Authorized official phone:** (956) 338-9885

## Contact information

- **Practice address:** 6985 LAGUNA DE PALMAS DR, BROWNSVILLE, TX 78526-6671
- **Practice address phone:** (956) 338-9885
- **Practice address fax:** (956) 561-4419
- **Mailing address:** 6985 LAGUNA DE PALMAS DR, BROWNSVILLE, TX 78526-6671
- **Mailing address phone:** (956) 338-9885
- **Mailing address fax:** (956) 561-4419

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251C00000X | Developmentally Disabled Services Day Training Agency | — | NULL | — |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | Yes |
| 3747P1801X | Personal Care Attendant | — | NULL | — |
| 3747P1801X | Personal Care Attendant | — | — | — |

## Other

- **Enumeration date:** 11/21/2023
- **Last updated:** 12/19/2023