Organization
BUENAVIDA HOME AND COMMUNITY SERVICES COMPANY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RALPH RIVERA GONZALES M.S. COUNSELING (DIRECTOR OF PROGRAMS)
(972) 475-4047
Entity
Organization
Contact information
Practice address
9701 LANCASHIRE DR N, ROCKWALL, TX 75087-8774
(972) 475-4047
(972) 475-4047
Mailing address
9701 LANCASHIRE DR N, ROCKWALL, TX 75087-8774
(972) 475-4047
(972) 475-4047
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
06/25/2006
Last updated
08/06/2007
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