Organization
A SERVANT'S HEART PRIMARY HOME CARE, LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAURA GARZA (ADMINISTRATOR)
(956) 443-0141
Entity
Organization
Contact information
Practice address
5001 STAGECOACH TRAIL, SUITE R, BROWNSVILLE, TX 78526
(956) 443-0141
(956) 443-0125
Mailing address
5001 STAGECOACH TRAIL, SUITE R, BROWNSVILLE, TX 78526-4548
(956) 443-0141
(956) 443-0125
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
3747P1801X
Personal Care Attendant
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05
—
TX
Enumeration date
07/01/2021
Last updated
08/19/2024
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