Organization
AMISTAD SENIOR PROVIDER SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANTONIA MORALES (ADMINISTRATOR)
(956) 280-5312
Entity
Organization
Contact information
Practice address
425 PAREDES LINE RD STE C, BROWNSVILLE, TX 78521-2464
(956) 280-5312
Mailing address
425 PAREDES LINE RD STE C, BROWNSVILLE, TX 78521-2464
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
03/11/2026
Last updated
03/11/2026
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