Organization
ABC PHC, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GLENDA DAMIANA RODRIGUEZ (ADMINISTRATOR)
(956) 472-4605
Entity
Organization
Contact information
Practice address
623 PUEBLO ST, WESLACO, TX 78596-4639
(956) 472-4605
Mailing address
623 PUEBLO ST, WESLACO, TX 78596-4639
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
TX
Other
Enumeration date
07/05/2011
Last updated
07/05/2011
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