| NPI | 1700287034 |
|---|---|
| Doing Business As | SAN LORENZO ADULT PROVIDER SERVICES AND PEDIATRICS |
| Entity Type | Organization |
| Authorized Contact | MELISSA PORTILLO Administrator 915-799-3199 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3747P1801X Technician, Personal Care Attendant |
| Additional Taxonomies | 253Z00000X In Home Supportive Care (Licence: TX 016371) |
| Enumeration Date | 2014-09-05 |
| Last Update Date | 2024-02-07 |