Organization
BUENA VIDA PROVIDERS LLC
Active
Other names
Buena Vida Providers
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN E EDEL (MEMBER)
(713) 302-2007
Entity
Organization
Contact information
Practice address
10315 RUDOLPH CT, MISSOURI CITY, TX 77459-2663
(713) 302-2007
Mailing address
10315 RUDOLPH CT, MISSOURI CITY, TX 77459-2663
(713) 302-2007
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
03/27/2012
Last updated
03/27/2012
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