Organization
LA GUADALUPANA PRIMARY HOME CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VANESSA GARZA (VICE-PRESIDENT)
(830) 758-1307
Entity
Organization
Contact information
Practice address
913 E HARRISON AVE STE 7, HARLINGEN, TX 78550-7193
(956) 428-0147
Mailing address
338 N MONROE ST, EAGLE PASS, TX 78852-4562
(830) 758-1307
(830) 757-8503
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
12/08/2009
Last updated
12/08/2009
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