Organization
CROWN OF STARS ADC,CBA & HOME HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS DIANA SOTELO (REGISTERED NURSE)
(956) 739-2031
Entity
Organization
Contact information
Practice address
304 S ALAMO RD STE D, 304 S ALAMO RD SUIE D, ALAMO, TX 78516-2728
(956) 783-3122
(956) 783-3122
Mailing address
512 W EGLY AVE, PHARR, TX 78577-3726
(956) 739-2031
(956) 783-3122
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
261QA0600X
Adult Day Care Clinic/Center
—
—
Other
Enumeration date
11/12/2009
Last updated
11/12/2009
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