Organization
MARIPOSA PRIMARY HOME CARE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARK HARLEY FERGUSON (ADMINISTRATOR)
(210) 218-2180
Entity
Organization
Contact information
Practice address
10107 MONTOYA DR, LAREDO, TX 78045-6400
(210) 218-2180
(210) 438-8102
Mailing address
10107 MONTOYA DR, LAREDO, TX 78045-6400
(210) 218-2180
(210) 438-8102
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
11/02/2009
Last updated
11/02/2009
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