Organization
MANNA HOME PROVIDER SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAMARIS GONZALEZ (MANAGER)
(361) 438-7038
Entity
Organization
Contact information
Practice address
5151 FLYNN PKWY STE 412T, CORPUS CHRISTI, TX 78411-4367
(361) 688-1586
Mailing address
5151 FLYNN PKWY STE 412T, CORPUS CHRISTI, TX 78411-4367
(361) 688-1586
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
03/26/2021
Last updated
10/29/2021
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