Organization
ROOTED IN LOVE HEALTH CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IVETTE GUADALUPE CORDOVA (OWNER/ADMINISTRATOR)
(956) 336-4183
Entity
Organization
Contact information
Practice address
441 COLORADO DR, SAN BENITO, TX 78586-5900
(956) 336-4183
(956) 338-5850
Mailing address
441 COLORADO DR, SAN BENITO, TX 78586-5900
(956) 336-4183
(956) 338-5850
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
3747P1801X
Personal Care Attendant
—
—
Other
Enumeration date
01/17/2024
Last updated
02/06/2024
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