Organization
AMISTAD PHC,L.L.C.
Active
Other names
Amistad PHC Services
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SILVIA M GOMEZ (ADMINISTRATOR)
(956) 627-3970
Entity
Organization
Contact information
Practice address
4814 N 11TH ST STE D, MCALLEN, TX 78504-3625
(956) 627-3970
(956) 627-3975
Mailing address
4814 N 11TH ST STE D, MCALLEN, TX 78504-3625
(956) 627-3970
(956) 627-3975
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
3747P1801X
Personal Care Attendant
—
—
Other
Enumeration date
10/10/2014
Last updated
07/23/2015
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