4 Genesis Primary Home Care, LLC
Technician, Personal Care Attendant in Mcallen, TX. Organization (NPI-2).
NPI number1508211970
StatusActive
Last updated in NPPESJun 23, 2023
Details
- NPI
- 1508211970
- Entity type
- Organization (NPI-2)
- Legal business name
- 4 Genesis Primary Home Care, LLC
- Organization subpart
- No
- Enumeration date
- May 4, 2016
- Certification date
- Jun 23, 2023
- Last updated
- Jun 23, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3747P1801X | Technician, Personal Care Attendant | – | – | Yes |
| 251E00000X | Home Health | – | – | |
| 385H00000X | Respite Care | – | – |
Practice location
9700 N. 23rd St9700 N. 23rd St
Mcallen, TX 78504-9817
Phone 956-348-4229 · Fax 956-378-9975
Mailing address
9700 N. 23rd St9700 N. 23rd St
Mcallen, TX 78504-9817
Phone 956-348-4229 · Fax 956-378-9975
Other practice locations
506 Delia Dr
Edinburg, TX 78542-5034
Edinburg, TX 78542-5034
Phone 956-348-4229 · Fax 956-378-9975
Authorized official
Manuel Miranda
Administrator-Owner
9563484229
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