| NPI | 1215485602 |
|---|---|
| Former Legal Business Name | LA BUENA VIDA PRIMARY HOME CARE CORPORATION |
| Entity Type | Organization |
| Authorized Contact | MARIA GARCIA Administrator 956-621-0880 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3747P1801X Technician Personal Care Attendant (Licence: TX 017782) |
| Additional Taxonomies | 261QP2300X Clinic/Center Primary Care |
| Enumeration Date | 2016-09-14 |
| Last Update Date | 2018-07-25 |