Organization
LA VIDA BUENA PROVIDER SERVICES, LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FRANSISCO DOMINGUEZ JR. (OWNER)
(361) 660-3888
Entity
Organization
Contact information
Practice address
495 COYOTE RANCH RD, ALICE, TX 78332-9259
(361) 660-3888
(361) 371-8422
Mailing address
495 COYOTE RANCH RD, ALICE, TX 78332-9259
(361) 660-3888
(361) 371-8422
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
11/11/2025
Last updated
11/11/2025
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