Organization
MI CASA PHC, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAURIE CARREON (CEO)
(956) 380-2220
Entity
Organization
Contact information
Practice address
3907 S SUGAR RD, EDINBURG, TX 78539-9888
(956) 380-2220
(956) 384-9234
Mailing address
3907 S SUGAR RD, EDINBURG, TX 78539-9888
(956) 380-2220
(956) 384-9234
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251J00000X
Nursing Care Agency
007650
TX
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
11/28/2006
Last updated
02/24/2025
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