Organization
LIBERTY PRIMARY HOME CARE, LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VANESSA IRENE REGULES (ADMINISTRATOR)
(956) 970-9100
Entity
Organization
Contact information
Practice address
4701 FIR AVE, MCALLEN, TX 78501-8627
(956) 970-9100
(956) 517-2021
Mailing address
4701 FIR AVE, MCALLEN, TX 78501-8627
(956) 970-9100
(956) 517-2021
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PENDING
—
TX
Enumeration date
12/21/2020
Last updated
12/21/2020
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