Organization
CRUZ PRIMARY HOMECARE, LLC
Active
Other names
Santa Elena Primary Home Care
Organization subpart
No
Provider details
NPI number
Authorized official
YADIRA RUBIO (OWNER)
(956) 766-7253
Entity
Organization
Contact information
Practice address
700 E GRIFFIN PKWY STE 117, MISSION, TX 78572-2939
(956) 766-7253
(956) 766-7256
Mailing address
700 E GRIFFIN PKWY STE 117, MISSION, TX 78572-2939
(956) 766-7253
(956) 766-7256
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
020835
—
TX
Enumeration date
01/05/2021
Last updated
03/16/2023
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