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Impact Life Home Health, LLC - Healthcare Series

Home Health in Los Fresnos, TX. Organization (NPI-2).

NPI number1760246169
StatusActive
Last updated in NPPESJun 19, 2024

Details

NPI
1760246169
Entity type
Organization (NPI-2)
Legal business name
Impact Life Home Health, LLC - Healthcare Series
Organization subpart
No
Enumeration date
Feb 7, 2024
Certification date
Jun 19, 2024
Last updated
Jun 19, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
251E00000X Home Health––Yes

Other names

  • Impact Life Healthcare (Doing Business As)

Practice location

9475 Los Olmos Dr
Los Fresnos, TX 78566

Phone 956-371-7476 · Fax 956-594-6261

Mailing address

9475 Los Olmos Dr
Los Fresnos, TX 78566

Phone 956-371-7476 · Fax 956-594-6261

Authorized official

Jesus Rodolfo Flores
Managing Member
9564555587

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