Organization
ROCK BRIDGE HOME HEALTH AGENCY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ENRIQUE LEDESMA (CFO/OWNER)
(956) 287-9991
Entity
Organization
Contact information
Practice address
3509 W. UNIVERSITY DR., SUITE #4, EDINBURG, TX 78539-2812
(956) 287-9991
(956) 287-9994
Mailing address
3509 W. UNIVERSITY DR., SUITE #4, EDINBURG, TX 78539-2812
(956) 287-9991
(956) 287-9994
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
011811
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1830275
—
TX
01
—
679507
MEDICARE ID-TYPE UNSPECIFIED
TX
Enumeration date
04/21/2011
Last updated
04/27/2011
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