Organization
SAN ANGEL PRIMARY HOME CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSE ANGEL DE LA O (OWNER / ADMINISTRATOR)
(956) 621-0556
Entity
Organization
Contact information
Practice address
860 W PRICE RD, BROWNSVILLE, TX 78520-8702
(956) 621-0556
(956) 443-0755
Mailing address
860 W PRICE RD, BROWNSVILLE, TX 78520-8702
(956) 621-0556
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251E00000X
Home Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
TX
3747P1801X
Personal Care Attendant
Primary
018402
TX
Other
Enumeration date
04/07/2017
Last updated
04/24/2026
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