Organization
NUEVA VIDA PRIMARY HOME CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NADIA G BAUGHMAN (ADMINISTRATOR)
(956) 551-4729
Entity
Organization
Contact information
Practice address
213 W. BUSINESS 83, SAN JUAN, TX 78589
(956) 551-4729
Mailing address
1132 CHAMPLAIN DR, BROWNSVILLE, TX 78526-1246
(956) 551-4729
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
—
—
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
10/07/2019
Last updated
01/29/2020
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