Organization
MI CASITA HOMECARE, LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELIAZAR RODRIGUEZ (CEO)
(956) 292-6359
Entity
Organization
Contact information
Practice address
610 N. BROADWAY, STE B #3, ELSA, TX 78543
(956) 292-2342
(956) 420-0222
Mailing address
P.O. BOX 1614, ELSA, TX 78543
(956) 567-2342
(956) 420-0222
Taxonomy
Speciality
Code
Description
License number
State
171WH0202X
Home Modifications Contractor
—
—
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
12/04/2018
Last updated
06/30/2021
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