Healthcare Provider Details
I. General information
NPI: 1003143587
Provider Name (Legal Business Name): DULCE ESPERANZA HOME HEALTH CARE L.L.C
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 11/04/2009
Last Update Date: 11/04/2009
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2509 E 2 MI LINE
MISSION TX
78574-9302
US
IV. Provider business mailing address
2509 E 2 MI LINE
MISSION TX
78574-9302
US
V. Phone/Fax
- Phone: 956-580-2119
- Fax: 956-580-1119
- Phone: 956-580-2119
- Fax: 956-580-1119
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 251E00000X |
| Taxonomy | Home Health Agency |
| License Number | 011139 |
| License Number State | TX |
VIII. Authorized Official
Name: MRS.
NORMA
AMALIA
TORRES
Title or Position: OWNER/ADMINISTRATOR
Credential: RN
Phone: 956-580-2119