Organization
AMEN PROVIDER SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAMONA C SUAREZ (ADMINISTRATOR)
(956) 854-4429
Entity
Organization
Contact information
Practice address
2611 N TEXAS BLVD STE 8, WESLACO, TX 78599-4062
(956) 854-4429
(956) 854-4432
Mailing address
2611 N TEXAS BLVD STE 8, WESLACO, TX 78599-4062
(956) 854-4429
(956) 854-4432
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
018296
TX
3747P1801X
Personal Care Attendant
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001029494
—
TX
01
—
018296
HCSSA
TX
05
—
3944241-01
—
TX
Enumeration date
05/30/2017
Last updated
10/20/2022
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