Organization
GAP PRIMARY HOME CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GABRIELLA A PENA (ADMINISTRATOR / OWNER)
(956) 360-0651
Entity
Organization
Contact information
Practice address
4014 MAGDALENA ST, MISSION, TX 78573-6766
(956) 360-0651
Mailing address
4014 MAGDALENA ST, MISSION, TX 78573-6766
(956) 360-0651
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
07/19/2022
Last updated
08/19/2022
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