Organization
CASA MIA HOSPICE CARE, LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUZANNE D. BALDERRAMA (ADMINISTRATOR)
(956) 277-1221
Entity
Organization
Contact information
Practice address
2223 PRIMROSE AVE, MCALLEN, TX 78504-4128
(956) 277-1221
Mailing address
2223 PRIMROSE AVE, MCALLEN, TX 78504-4128
(956) 843-0740
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
A91652
—
TX
05
—
PENDING
—
TX
Enumeration date
03/12/2021
Last updated
01/09/2025
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