Organization
DE LOS SANTOS PRIMARY HOME CARE, INC. #2
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LIZETTE IVY DE LOS SANTOS (CEO)
(800) 585-9120
Entity
Organization
Contact information
Practice address
304 S ALAMO RD STE C, ALAMO, TX 78516-2728
(800) 585-9120
(956) 435-0105
Mailing address
304 S ALAMO RD STE C, ALAMO, TX 78516-2728
(800) 585-9120
(956) 435-0105
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
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
02/22/2021
Last updated
05/16/2023
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