Organization
PERSAD, INC.
Active
Other names
Semper Fi Provider Care
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KIMBERLY RENE PERSAD RN, BSN (PRESIDENT/DIRECTOR)
(361) 230-9362
Entity
Organization
Contact information
Practice address
1016 LA MIRADA, PORTLAND, TX 78374-4132
(361) 230-9362
(888) 708-5069
Mailing address
PO BOX 1331, PORTLAND, TX 78374-1185
(361) 230-9362
(888) 708-5069
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
015622
TX
Other
Enumeration date
03/28/2013
Last updated
08/27/2013
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