Organization
CASITA CORAZON HEALTHCARE AGENCY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EDGARDO RODRIGUEZ RN (ADMINISTRATOR)
(956) 353-6253
Entity
Organization
Contact information
Practice address
207 S CAGE BLVD, STE A-2, PHARR, TX 78577
(956) 353-6253
(956) 353-6389
Mailing address
207 S CAGE BLVD, STE A-2, PHARR, TX 78577
(956) 353-6253
(956) 353-6389
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
3747P1801X
Personal Care Attendant
—
—
Other
Enumeration date
08/06/2016
Last updated
06/05/2020
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