Organization
SAN LORENZO ADULT PROVIDER SERVICES AND PEDIATRICS LLC
Active
Other names
SAN LORENZO ADULT PROVIDER SERVICES AND PEDIATRICS
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MELISSA PORTILLO (ADMINISTRATOR)
(915) 799-3199
Entity
Organization
Contact information
Practice address
5819 SUN VALLEY DR, EL PASO, TX 79924-3517
(915) 799-3199
(915) 799-3199
Mailing address
5819 SUN VALLEY DR, EL PASO, TX 79924-3517
(915) 799-3199
(915) 799-3199
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
016371
TX
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
09/05/2014
Last updated
02/07/2024
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