Healthcare Provider Details

I. General information

NPI: 1174989966
Provider Name (Legal Business Name): ABSOLUTELY ZIPPY PHC ENTERPRISES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/08/2016
Last Update Date: 01/08/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

337 E MILE 14 1/2 N
WESLACO TX
78599-2658
US

IV. Provider business mailing address

337 E MILE 14 1/2 N
WESLACO TX
78599-2658
US

V. Phone/Fax

Practice location:
  • Phone: 956-262-2100
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: CHRISTINA CAMPOS
Title or Position: OWNER
Credential:
Phone: 956-262-2100