Organization
LA FUENTE, INC
Active
Other names
La Fuente Primary Home Care
Organization subpart
No
Provider details
NPI number
Authorized official
VERONICA ALEMAN (ADMINISTRATOR)
(956) 485-2400
Entity
Organization
Contact information
Practice address
801 W HIGHWAY 83, SULLIVAN CITY, TX 78595
(956) 485-2400
(956) 485-1193
Mailing address
PO BOX 280, SULLIVAN CITY, TX 78595-0280
(956) 485-2400
(956) 485-1193
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
251J00000X
Nursing Care Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
261QP2300X
Primary Care Clinic/Center
—
—
385H00000X
Respite Care
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001004180
—
TX
Enumeration date
05/24/2007
Last updated
07/15/2021
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