Organization
CON ENCANTO HEALTHCARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EDGARDO RODRIGUEZ (OWNER)
(956) 685-5081
Entity
Organization
Contact information
Practice address
131 W CLARK AVE STE A-3, PHARR, TX 78577-3842
(956) 685-5081
(956) 685-5082
Mailing address
131 W CLARK AVE STE A-3, PHARR, TX 78577-3842
(956) 685-5081
(956) 685-5082
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
014524
STATE LICENSE
TX
Enumeration date
07/15/2011
Last updated
05/15/2023
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