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Organization

SUPERIOR CARE PRIMARY HOME CARE PROVIDER, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
BRISELDA GONZALEZ ESPINOZA (OWNER / ADMINISTRATOR)
(956) 791-6477
Entity
Organization

Contact information

Practice address
2402 LOGAN AVE, LAREDO, TX 78040-4044
(956) 791-6477
(956) 721-0663
Mailing address
2402 LOGAN AVE, LAREDO, TX 78040-4044
(956) 791-6477
(956) 721-0663

Taxonomy

Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
3747P1801X
Personal Care Attendant
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
330143402
TX
Enumeration date
05/09/2013
Last updated
02/19/2026
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