Organization
LONGORIA PERSONAL CARE HOME, INC
Active
Other names
Longoria Personal Care Home
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MAGDALENA LONGORIA (OWNER)
(210) 622-9808
Entity
Organization
Contact information
Practice address
16740 IH 35 S UNIT 2, ATASCOSA, TX 78002-5773
(210) 622-9808
(210) 622-3731
Mailing address
16740 IH 35 S UNIT 2, ATASCOSA, TX 78002-5773
(210) 622-9808
(210) 622-3731
Taxonomy
Speciality
Code
Description
License number
State
3104A0625X
Assisted Living Facility (Mental Illness)
Primary
118936
TX
Other
Enumeration date
02/09/2007
Last updated
03/18/2015
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