Organization
GDL PRIMARY HOME CARE INC
Active
Other names
GDL PRIMARY HOME CARE INC
Organization subpart
No
Provider details
NPI number
Authorized official
MISS KASSANDRA YVETTE DE LEON (DIRECTOR)
(956) 267-8288
Entity
Organization
Contact information
Practice address
4321 MELISSA DR, LAREDO, TX 78046-5770
(956) 267-8288
(956) 267-8290
Mailing address
4321 MELISSA DR, LAREDO, TX 78046-5770
(956) 267-8288
(956) 267-8290
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
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
803313962
SECRETARY OF STATE FILE NUMBER
TX
Enumeration date
02/10/2021
Last updated
02/10/2021
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