Organization
BLUEBONNET PRIMARY HOME CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VANESSA TREVINO (ADMINISTRATOR)
(956) 589-5026
Entity
Organization
Contact information
Practice address
5226 POMANDER RD, HOUSTON, TX 77021-3148
(956) 589-5026
Mailing address
1575 MILITARY HWY 281 STE 106, BROWNSVILLE, TX 78520-3408
(956) 517-6260
(956) 372-1128
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
11/05/2024
Last updated
11/05/2024
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