Organization
SANTA ROSA PRIMARY HOME CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. VERONICA LOPEZ (ADMINISTRATOR)
(956) 338-9885
Entity
Organization
Contact information
Practice address
6985 LAGUNA DE PALMAS DR, BROWNSVILLE, TX 78526-6671
(956) 338-9885
(956) 561-4419
Mailing address
6985 LAGUNA DE PALMAS DR, BROWNSVILLE, TX 78526-6671
(956) 338-9885
(956) 561-4419
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
11/21/2023
Last updated
12/19/2023
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