Organization
PALOMA BLANCA PROVIDER SERVICES, LLC
Active
Parent organization
PALOMA BLANCA PROVIDER SERVICES, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
PALOMA BLANCA PROVIDER SERVICES, LLC
Authorized official
MS. SYLVIA LOZANO (ADMINISTRATOR)
(956) 645-8068
Entity
Organization
Contact information
Practice address
1101 SHILOH DRIVE, # 3, LAREDO, TX 78045
(956) 727-8068
Mailing address
1101 SHILOH DR. #3 OR P.O. BPX 450152, LAREDO, TX 78045
(956) 727-8068
(956) 727-8068
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
06/09/2020
Last updated
06/11/2020
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