Organization
MANUEL SANDOVAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MANUEL SANDOVAL (OWNER)
(830) 387-1624
Entity
Organization
Contact information
Practice address
2639 EL INDIO HWY APT 5, EAGLE PASS, TX 78852-5575
(830) 387-1624
Mailing address
2639 EL INDIO HWY APT 5, EAGLE PASS, TX 78852-5575
(830) 387-1624
Taxonomy
Speciality
Code
Description
License number
State
372500000X
Chore Provider
—
—
372600000X
Adult Companion
—
—
376J00000X
Homemaker
Primary
—
—
Other
Enumeration date
03/04/2020
Last updated
05/29/2020
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