Organization
NUESTRA ESPERANZA PRIMARY HOME CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MONICA CENTENO (MEMBER)
(956) 630-6411
Entity
Organization
Contact information
Practice address
2700 E GRIFFIN PKWY STE C, MISSION, TX 78572-3559
(956) 630-6411
(956) 618-4631
Mailing address
2700 E GRIFFIN PKWY STE C, MISSION, TX 78572-3559
(956) 630-6411
(956) 618-4631
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251E00000X
Home Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
05/21/2010
Last updated
12/01/2020
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