Organization
LA GLORIA HOME PROVIDER SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAILEE DESTINY GALLEGOS (OWNER)
(956) 373-2108
Entity
Organization
Contact information
Practice address
327 FOREST HILLS DR, WESLACO, TX 78596-7719
(956) 373-2108
(956) 300-7222
Mailing address
327 FOREST HILLS DR, WESLACO, TX 78596-7719
(956) 373-2108
(956) 300-7222
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
—
—
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
06/27/2022
Last updated
04/26/2023
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