Hacienda Las Fuentes Phc, LLC

NPI #1477220275 in Palmview, Texas

Provider Information

NPI Number
1477220275
Entity Type
Organization
Organization Name
Hacienda Las Fuentes Phc, LLC
Primary Specialty
Technician - Personal Care Attendant
Enumeration Date
Aug 27, 2021
Last Updated
Aug 27, 2021

Practice Location

Address
2606 W VETERANS BLVD STE B
State
Texas
ZIP Code
78572-5081
Phone
(956) 240-0300

Authorized Official

Name
LUZELMA ROSALES
Title
OWNER
Phone
(956) 240-0300

Specialties & Taxonomy Codes

Specialty
Technician - Personal Care AttendantPersonal Care Attendant

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