Organization
A LIFE PRIMARY HOME, L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROLANDO LONGORIA (PRESIDENT)
(956) 778-3035
Entity
Organization
Contact information
Practice address
32243 RD 803, SAN BENITO, TX 78586-6628
(956) 778-3035
Mailing address
32243 RD 803, SAN BENITO, TX 78586-6628
(956) 778-3035
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
05/12/2009
Last updated
05/12/2009
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