Organization
ANGEL DE LA GUARDIA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERTO HERNANDEZ COTA/L (ADMINISTRATOR)
(956) 584-3196
Entity
Organization
Contact information
Practice address
1721 E GRIFFIN PKWY, SUITE A, MISSION, TX 78572-3103
(956) 584-3196
(956) 584-3187
Mailing address
1721 E GRIFFIN PKWY, SUITE A, MISSION, TX 78572-3103
(956) 584-3196
(956) 584-3187
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
PENDING
TX
Other
Enumeration date
06/22/2006
Last updated
08/22/2020
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