Organization
BLANQUITA'S PRIMARY HOME CARE, LLC
Active
Other names
Blanquita's Primary Home Care, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MS. BLANCA E PERALES LVN (OWNER/ADMINISTRATOR)
(830) 776-5031
Entity
Organization
Contact information
Practice address
1571 S VETERANS BLVD STE A, EAGLE PASS, TX 78852-6674
(830) 776-5031
(830) 776-5031
Mailing address
1571 S VETERANS BLVD STE A, EAGLE PASS, TX 78852-6674
(830) 776-5031
(830) 776-5930
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1841536638
—
TX
Enumeration date
07/23/2019
Last updated
07/23/2019
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