Organization
AMIGO HOME HEALTH AGENCY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EDELMIRO VARELA JR. R.N. (CEO / PRESIDENT/ADMINISTRATOR)
(956) 968-8530
Entity
Organization
Contact information
Practice address
316 N TEXAS BLVD, WESLACO, TX 78596-5306
(956) 968-8530
(956) 969-9502
Mailing address
PO BOX 175, WESLACO, TX 78599-0175
(956) 968-8530
(956) 969-9502
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
007809
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
151900101
—
TX
01
—
CL8591
DME
TX
Enumeration date
07/05/2006
Last updated
12/27/2011
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