Organization
ROSA ELIA MARTINEZ
Active
Other names
Buena Vida Primary Home Care
Organization subpart
No
Provider details
NPI number
Authorized official
ROSA ELIA MARTINEZ (ALT. ADMINISTRATOR/OWNER)
(956) 546-1115
Entity
Organization
Contact information
Practice address
4035 BOCA CHICA BLVD STE 3, BROWNSVILLE, TX 78521
(956) 546-1115
Mailing address
4035 BOCA CHICA BLVD STE 3, BROWNSVILLE, TX 78521-6160
(956) 546-1115
(956) 546-1104
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
—
—
3747P1801X
Personal Care Attendant
Primary
016871
TX
Other
Enumeration date
03/12/2015
Last updated
03/29/2019
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