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La Guadalupana Primary Home Care, LLC

Technician, Personal Care Attendant in Eagle Pass, TX. Organization (NPI-2).

NPI number1679802482
StatusActive
Last updated in NPPESDec 8, 2009

Details

NPI
1679802482
Entity type
Organization (NPI-2)
Legal business name
La Guadalupana Primary Home Care, LLC
Organization subpart
No
Enumeration date
Dec 8, 2009
Last updated
Dec 8, 2009

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
3747P1801X Technician, Personal Care Attendant––Yes

Practice location

338 N Monroe St
Eagle Pass, TX 78852-4562

Phone 830-758-1307

Mailing address

338 N Monroe St
Eagle Pass, TX 78852-4562

Authorized official

Vaness Garza
Vice-President
8307581307

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