Organization
BUENA VIDA HOME HEALTH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LIRIA CRISTINA ACUNA (ADMINISTRATOR)
(915) 300-1190
Entity
Organization
Contact information
Practice address
1530 GOODYEAR DR STE A2, EL PASO, TX 79936-6037
(915) 300-1190
(915) 300-1192
Mailing address
1530 GOODYEAR DR STE A2, EL PASO, TX 79936-6037
(915) 300-1190
(915) 300-1192
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
3747P1801X
Personal Care Attendant
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4275281
—
TX
Enumeration date
05/17/2021
Last updated
12/05/2024
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