Organization
CIELO AZUL PRIMARY HOME CARE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARCO DE LEON (ADMINISTRATOR)
(956) 551-7673
Entity
Organization
Contact information
Practice address
6598 CAROLINE PINE, BROWNSVILLE, TX 78526
(956) 551-7673
(254) 605-6255
Mailing address
6598 CAROLINE PINE, BROWNSVILLE, TX 78526
(956) 551-7673
(254) 605-6255
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
04/15/2022
Last updated
04/15/2022
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