| NPI | 1093119570 |
|---|---|
| Doing Business As | LA TRINIDAD PROVIDER SERVICES |
| Entity Type | Organization |
| Authorized Contact | ISELA TREVINO Administrator 956-271-6161 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Enumeration Date | 2014-10-13 |
| Last Update Date | 2016-10-13 |