Healthcare Provider Details
I. General information
NPI: 1275118671
Provider Name (Legal Business Name): MEJOR SALUD LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 03/17/2021
Last Update Date: 08/26/2022
Certification Date: 08/26/2022
Deactivation Date:
Reactivation Date:
III. Provider practice location address
10008 IOWA RD
MISSION TX
78574-5937
US
IV. Provider business mailing address
10008 IOWA RD
MISSION TX
78574-5937
US
V. Phone/Fax
- Phone: 956-222-8110
- Fax:
- Phone: 956-222-8110
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 261Q00000X |
| Taxonomy | Clinic/Center |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 3747P1801X |
| Taxonomy | Personal Care Attendant |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 251E00000X |
| Taxonomy | Home Health Agency |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
NUBIA
QUINTANILLA
Title or Position: ADMINISTRATOR
Credential:
Phone: 956-222-8110