Organization
INTEGRA HOME PROVIDER SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARIE M RAMIREZ (ADMINISTRATOR/OWNER)
(956) 459-9242
Entity
Organization
Contact information
Practice address
1415 MULBERRY LN, BROWNSVILLE, TX 78520-8263
(956) 459-9242
(956) 542-8902
Mailing address
1415 MULBERRY LN, BROWNSVILLE, TX 78520-8263
(956) 459-9242
(956) 542-8902
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
10/15/2010
Last updated
10/15/2010
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