Organization
SOUTH BAY SENIOR CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BASSANIO MARTINEZ (DIRECTOR)
(310) 940-1714
Entity
Organization
Contact information
Practice address
2400 S VOSS RD, APT A115, HOUSTON, TX 77057-4110
(310) 940-1714
Mailing address
2400 S VOSS RD, APT A115, HOUSTON, TX 77057-4110
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
10/23/2015
Last updated
10/23/2015
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