Sacred Heart Phc,llc

NPI #1811382948 in San Diego, Texas

Provider Information

NPI Number
1811382948
Entity Type
Organization
Organization Name
Sacred Heart Phc,llc
Primary Specialty
Technician - Personal Care Attendant
Enumeration Date
Apr 6, 2015
Last Updated
Jul 7, 2015

Practice Location

Address
103 W GRAVIS ST
State
Texas
ZIP Code
78384-2639
Phone
(361) 279-8280

Authorized Official

Name
GLENDA RENEE GONZALEZ, LVN
Title
ADMINISTRATOR
Phone
(361) 834-3526

Specialties & Taxonomy Codes

Specialty
Technician - Personal Care AttendantPersonal Care Attendant

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