Organization
PRESTIGIOUS PRIMARY HOME CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELIZAMA VILLEGAS (CEO)
(956) 715-9633
Entity
Organization
Contact information
Practice address
1920 BARREDA CIR E, EDINBURG, TX 78542-1269
(956) 715-9633
Mailing address
1920 BARREDA CIR E, EDINBURG, TX 78542-1269
(956) 715-9633
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
—
—
251E00000X
Home Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
3747P1801X
Personal Care Attendant
Primary
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
06/22/2022
Last updated
12/18/2024
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