| NPI | 1730455452 |
|---|---|
| Doing Business As | BUENA VIDA PROVIDERS |
| Entity Type | Organization |
| Authorized Contact | JOHN E EDEL Member 713-302-2007 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Enumeration Date | 2012-03-27 |
| Last Update Date | 2012-03-27 |