Organization
ENCINO PRIMARY HOME CARE LLC
Active
Other names
Encino Primary Home Care LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MARIA CARMEN CAVAZOS (ADMINISTRATOR/ MANAGING MEMBER)
(956) 929-1054
Entity
Organization
Contact information
Practice address
309 W PIKE BLVD STE A, WESLACO, TX 78596-4723
(956) 929-1054
(877) 784-1426
Mailing address
309 W PIKE BLVD STE A, WESLACO, TX 78596-4723
(956) 929-1054
(877) 784-1426
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
385809401
—
TX
Enumeration date
02/16/2017
Last updated
06/21/2021
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