Organization
NUESTRO SAGRADO CORAZON PRIMARY HOME CARE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANA MARIA HERNANDEZ (ADMINISTRATOR/SIGNING AUTHORITY)
(956) 968-9828
Entity
Organization
Contact information
Practice address
4811 S JACKSON RD, EDINBURG, TX 78539-9793
(956) 627-3434
(956) 627-3699
Mailing address
4811 S JACKSON RD, EDINBURG, TX 78539-9793
(956) 627-3434
(956) 627-3699
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
010559
TX
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
188469401
TPI
TX
05
—
188469401
—
TX
Enumeration date
06/13/2007
Last updated
11/19/2020
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