Organization
MAYRA A DE LEON
Active
Other names
De Leon Care
Organization subpart
No
Provider details
NPI number
Authorized official
MAYRA A DE LEON (OWNER)
(956) 223-9118
Entity
Organization
Contact information
Practice address
611 W EAGLE AVE, 611 W EAGLE AVE, PHARR, TX 78577-8842
(956) 720-1027
Mailing address
611 W EAGLE AVE, 611 W EAGLE AVE, PHARR, TX 78577-8842
(956) 720-1027
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
—
—
3747A0650X
Attendant Care Provider
—
—
3747P1801X
Personal Care Attendant
Primary
—
—
374U00000X
Home Health Aide
—
—
376J00000X
Homemaker
—
—
385H00000X
Respite Care
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001029709
—
TX
Enumeration date
05/03/2017
Last updated
01/24/2021
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