Organization
MIRASOL HEALTH SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. YOLANDA BALDERAS R.N. (PRESIDENT ADMINISTRATOR)
(956) 581-5493
Entity
Organization
Contact information
Practice address
710 E GRIFFIN PKWY STE C, MISSION, TX 78572
(956) 581-5493
(956) 581-2306
Mailing address
710 E GRIFFIN PKWY STE C, MISSION, TX 78572-2910
(956) 581-5493
(956) 581-2306
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
000010619
TX
251E00000X
Home Health Agency
010619
TX
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010619
LICENSE NUMBER
TX
Enumeration date
05/10/2007
Last updated
05/02/2024
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