Organization
LUZ DE PADRES LLC
Active
Other names
Luz De Padres LLC
Organization subpart
No
Provider details
NPI number
Authorized official
PRISCILLA PUENTE (ALTERNATIVE ADMINSTRATOR)
(956) 246-2446
Entity
Organization
Contact information
Practice address
222 N EXPRESSWAY 77/83 STE 157, BROWNSVILLE, TX 78521-2258
(956) 579-7263
Mailing address
222 N EXPRESSWAY 77/83 STE 157, BROWNSVILLE, TX 78521-2258
(956) 246-2446
(210) 981-8535
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
07/04/2021
Last updated
04/04/2022
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