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Organization
ST. JUDES SPECIALTY HOME AND HEALTH CARE SERVICES, INC
Active
Organization
ST. JUDES SPECIALTY HOME AND HEALTH CARE SERVICES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PATRICIA GUAJARDO REGISTERED NURSE (PRESIDENT)
(956) 740-0106
Entity
Organization
Contact information
Practice address
1220 SCOTT ST, LAREDO, TX 78040-6356
(956) 740-0106
(956) 727-1406
Mailing address
1220 SCOTT ST, LAREDO, TX 78040-6356
(956) 740-0106
(956) 727-1406
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
251E00000X
PTAN NUMBER
TX
Enumeration date
02/18/2009
Last updated
12/22/2014
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