Organization
MANNA PROVIDER SERVICES, LLC.
Active
Other names
Manna Provider Services, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. HERMELINDA MONICA JIMENEZ (ADMINISTRATOR)
(956) 754-3975
Entity
Organization
Contact information
Practice address
1915 WOODLAND DR, 1915 WOODLAND DR., LAREDO, TX 78045-8353
(956) 754-3975
Mailing address
1915 WOODLAND DR, LAREDO, TX 78045-8353
(956) 754-3975
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
06/05/2015
Last updated
03/18/2024
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