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Organization
LONE STAR HOME HEALTH
Active
Organization
LONE STAR HOME HEALTH
Active
Other names
LONE STAR HOME HEALTH
Organization subpart
No
Provider details
NPI number
Authorized official
DIANA LAURA GONZALEZ LVN (ADMINISTRATOR)
(956) 203-3212
Entity
Organization
Contact information
Practice address
1409 TESORO AVE, RANCHO VIEJO, TX 78575-9710
(956) 203-3212
(956) 550-8999
Mailing address
1409 TESORO AVE, RANCHO VIEJO, TX 78575-9710
(956) 203-3212
(956) 550-8999
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
014526
TX
251J00000X
Nursing Care Agency
—
NULL
3747P1801X
Personal Care Attendant
—
NULL
3747P1801X
Personal Care Attendant
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
288182-02
—
TX
05
—
2888182-01
—
TX
Enumeration date
09/19/2011
Last updated
11/10/2020
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