Organization
HACIENDA LAS FUENTES PHC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LUZELMA ROSALES (OWNER)
(956) 240-0300
Entity
Organization
Contact information
Practice address
2606 W VETERANS BLVD STE B, PALMVIEW, TX 78572-5081
(956) 240-0300
Mailing address
2606 W VETERANS BLVD STE B, PALMVIEW, TX 78572-5081
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
08/27/2021
Last updated
08/27/2021
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