Organization
AMORCITOS PHC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAUL SEPULVEDA (OWNER)
(956) 732-4058
Entity
Organization
Contact information
Practice address
4504 N KENYON RD, EDINBURG, TX 78542-4656
(956) 732-4058
Mailing address
4504 N KENYON RD, EDINBURG, TX 78542-4656
(956) 732-4058
Taxonomy
Speciality
Code
Description
License number
State
171WH0202X
Home Modifications Contractor
—
—
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
11/06/2019
Last updated
07/17/2023
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