| NPI | 1134312101 |
|---|---|
| Doing Business As | AMISTAD PROVIDER AGENCY, INC. |
| Entity Type | Organization |
| Authorized Contact | MYRNA I CANTU Administrator 956-867-8881 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3747P1801X Technician, Personal Care Attendant (Licence: TX 012246) |
| Additional Taxonomies | 251E00000X Home Health (Licence: TX 012246) |
| 385H00000X Respite Care (Licence: TX 012246) | |
| Enumeration Date | 2007-08-23 |
| Last Update Date | 2024-06-11 |