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Organization

GARDENIA PRIMARY HOME CARE, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MARITES TAUTHO RN (PRESIDENT/ADMINISTRATOR)
(956) 223-4363
Entity
Organization

Contact information

Practice address
370 E BOWIE AVE, ALAMO, TX 78516-5519
(956) 223-4363
(956) 223-4363
Mailing address
PO BOX 281, ALAMO, TX 78516-0281
(956) 223-4363
(956) 223-4363

Taxonomy

Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
3747P1801X
Personal Care Attendant
Primary

Other

Enumeration date
03/15/2018
Last updated
09/26/2018
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