Organization
LA GUADALUPANA PRIMARY HOME CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VANESSA GARZA (OWNER)
(830) 758-1307
Entity
Organization
Contact information
Practice address
338 N MONROE ST, EAGLE PASS, TX 78852-4562
(830) 758-1307
(830) 757-8503
Mailing address
338 N MONROE ST, EAGLE PASS, TX 78852-4562
(830) 758-1307
(830) 757-8503
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
TX
Other
Enumeration date
01/29/2010
Last updated
01/29/2010
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