Healthcare Provider Details
I. General information
NPI: 1356578728
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: 06/12/2009
Last Update Date: 06/12/2009
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 | N |
| Taxonomy Code | 3747A0650X |
| Taxonomy | Attendant Care Provider |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 3747P1801X |
| Taxonomy | Personal Care Attendant |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MRS.
NORMA
AMALIA
TORRES
Title or Position: ADMINISTRATOR/CEO
Credential:
Phone: 956-580-2119