Organization
LOS MILAGROS PHC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENYA MORENO (ADMINISTRATOR)
(956) 600-7936
Entity
Organization
Contact information
Practice address
810 E VETERANS BLVD STE K, PALMVIEW, TX 78572-5019
(956) 600-7936
(956) 599-9027
Mailing address
810 E VETERANS BLVD STE K, PALMVIEW, TX 78572-5019
(956) 600-7936
(956) 599-9027
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
09/28/2016
Last updated
03/01/2019
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