Organization
THE LIGHTHOUSE PRIMARY HOME CARE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CONCEPCION YBARRA (OWNER/ADMINISTRATOR)
(956) 559-1627
Entity
Organization
Contact information
Practice address
36326 DODDS RD, LOS FRESNOS, TX 78566-5100
(956) 559-1627
Mailing address
36326 DODDS RD, LOS FRESNOS, TX 78566-5100
(956) 559-1627
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1
—
TX
Enumeration date
02/21/2020
Last updated
02/21/2020
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