Organization
FAMILIA PRIMARY HOME CARE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EVELIA GUTIERREZ (ADMINISTRATOR)
(956) 583-4620
Entity
Organization
Contact information
Practice address
2002 N CONWAY AVE STE C, MISSION, TX 78572-2926
(956) 583-4620
(956) 583-4621
Mailing address
2002 N CONWAY AVE STE C, MISSION, TX 78572-2926
(956) 583-4620
(956) 583-4621
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251E00000X
Home Health Agency
—
—
373H00000X
Day Training/Habilitation Specialist
—
—
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
11/28/2011
Last updated
06/12/2021
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