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General NPI Number Information
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NPI Number | 1639642747
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Entity Type | Organization
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Legal Business Name | LONESTAR HOME HEALTH CARE SERVICES, LLC
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Dates
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Enumeration Date | 01/10/2019
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Last Update Date | 03/14/2019
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Provider Practice Location Address
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Address Line | 422 ARROYO AVE
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City | SANTA ROSA
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State | TX
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Zip | 78593-9700
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Country | US
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Telephone | 956-453-7610
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1403
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City | SANTA ROSA
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State | TX
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Zip | 78593-1403
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Country | US
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Telephone | 956-453-7610
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | NORMA L MENDEZ
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Credential |
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Telephone | 956-453-7610
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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