Individual
JESUS SANDATE-SANCHEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3219 BURKE RD APT 211, PASADENA, TX 77504-1836
(956) 502-8962
Mailing address
3219 BURKE RD APT 211, PASADENA, TX 77504-1836
(956) 502-8962
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
—
—
372500000X
Chore Provider
Primary
—
—
372600000X
Adult Companion
—
—
376J00000X
Homemaker
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
77504211
HOMECARE+ ADMIN
—
Enumeration date
09/29/2022
Last updated
09/29/2022
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