Organization
ALL STAR PRIMARY HOME CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ISRAEL PENA JR. (OWNER/ADMINISTRATOR)
(956) 789-1117
Entity
Organization
Contact information
Practice address
2513 E GRIFFIN PKWY, MISSION, TX 78572-3320
(956) 789-1117
Mailing address
2513 E GRIFFIN PKWY, MISSION, TX 78572-3320
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251E00000X
Home Health Agency
Primary
—
—
3747P1801X
Personal Care Attendant
—
—
Other
Enumeration date
02/06/2020
Last updated
02/26/2025
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