Organization · NPI-2

Buenavida Home And Community Services Company

Home Health · Rockwall, TX

NPI number1245266501
StatusActive
Last updated in NPPESAug 6, 2007

Details

NPI
1245266501
Entity type
Organization (NPI-2)
Legal business name
Buenavida Home And Community Services Company
Organization subpart
No
Enumeration date
Jun 25, 2006
Last updated
Aug 6, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
251E00000X Home Health––Yes

Practice location

9701 Lancashire Dr N
Rockwall, TX 75087-8774

Phone 972-475-4047 · Fax 972-475-4047

Mailing address

9701 Lancashire Dr N
Rockwall, TX 75087-8774

Phone 972-475-4047 · Fax 972-475-4047

Authorized official

Ralph Rivera Gonzales
Director Of Programs
9724754047

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