Organization
CELESTIAL PROVIDER SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSE VALDEZ JR. (ADMIN)
(956) 310-1725
Entity
Organization
Contact information
Practice address
604 E RAMON AYALA DR, HIDALGO, TX 78557-2627
(956) 317-1725
Mailing address
PO BOX 8808, HIDALGO, TX 78557-8808
(956) 310-1725
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
07/31/2023
Last updated
07/31/2023
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