Mi Ranchito Phc LLC

NPI #1174042097 in La Joya, Texas

Provider Information

NPI Number: 1174042097
Entity Type: Organization
Organization Name: Mi Ranchito Phc LLC
Primary Specialty: Technician - Attendant Care Provider
Enumeration Date: Sep 12, 2017
Last Updated: Sep 12, 2017

Practice Location

Address: 824 E EXPRESSWAY 83
City: La Joya
State: Texas
ZIP Code: 78560-4178
Phone: (956) 519-8886

Authorized Official

Name: AMANDA MONTEMAYOR
Title: OWNER
Phone: (956) 519-8886

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
In Home Supportive Care	253Z00000X
Technician - Personal Care Attendant — Personal Care Attendant	3747P1801X
Technician - Attendant Care Provider — Attendant Care Provider	3747A0650X	Primary

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