Organization
LA HACIENDA HOMECARE, LLC,
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICARDO BERITEZ (ADMINISTRATOR/CEO)
(956) 424-0124
Entity
Organization
Contact information
Practice address
246 EBANO CIRCLE, STE B, LA JOYA, TX 78560
(956) 424-0124
(956) 424-0292
Mailing address
246 EBANO CIRCLE, STE B, LA JOYA, TX 78560
(956) 424-0124
(956) 424-0292
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
01/21/2020
Last updated
04/20/2021
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