To the Moon and Back Personal Care LLC

NPI #1285162149 in Canutillo, Texas

Provider Information

NPI Number
1285162149
Entity Type
Organization
Organization Name
To the Moon and Back Personal Care LLC
Primary Specialty
In Home Supportive Care
Enumeration Date
May 23, 2017
Last Updated
May 23, 2017

Practice Location

Address
7318 GILLETT ST
State
Texas
ZIP Code
79835-6421
Phone
(915) 667-7320

Authorized Official

Name
LESLIE DAINE RODRIGUEZ
Title
OWNER
Phone
(915) 667-7320

Specialties & Taxonomy Codes

Specialty
In Home Supportive Care

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