| NPI | 1811568546 |
|---|---|
| Former Legal Business Name | LUZ DE PADRES LLC |
| Entity Type | Organization |
| Authorized Contact | PRISCILLA PUENTE Alternative Adminstrator 956-246-2446 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3747P1801X Technician, Personal Care Attendant |
| Enumeration Date | 2021-07-04 |
| Last Update Date | 2022-04-04 |