Organization
FIESTA PRIMARY HOME CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAUL HECTOR ZAMBRANO JR. (OWNER/ADMINISTRATOR)
(956) 602-0275
Entity
Organization
Contact information
Practice address
6508 N BARTLETT AVE STE D, LAREDO, TX 78041-6446
(956) 602-0275
(956) 666-7485
Mailing address
6508 N BARTLETT AVE STE E, LAREDO, TX 78041-6446
(956) 602-0275
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251J00000X
Nursing Care Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
3747P1801X
Personal Care Attendant
Primary
—
—
374U00000X
Home Health Aide
—
—
Other
Enumeration date
05/05/2017
Last updated
04/02/2024
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