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NPI Code Detail

MEDICARE: LINE CARE HEALTH SERVICES, LLC.

MEDICARE: LINE CARE HEALTH SERVICES, LLC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
13747P1801XPersonal Care Attendant
2251E00000XHome Health Agency

General Provider Information

NPI Number : 1043801822
Entity Type Code : Organization
Provider Name (Legal Business Name) : LINE CARE HEALTH SERVICES, LLC.
Provider Business Mailing Address
First Line : 302 E. US HWY 83
Second Line : STE 10
City : SAN JUAN
State : TX
Zip : 78589-2900
Country : US
Telephone Number : 956-620-4154
Fax Number : 956-435-0311
Provider Business Practice Location Address
First Line : 302 E. US HWY 83
Second Line : STE 10
City : SAN JUAN
State : TX
Zip : 78589-2900
Country : US
Telephone Number : 956-620-4154
Fax Number : 956-435-0311
Authorized Official
Title or Position : CEO
Name : MARIA C. GONZALES
Credential :
Telephone Number : 956-620-4154
Provider Enumeration Date : 02/03/2021
Last Update Date : 05/15/2024

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Directions to “LINE CARE HEALTH SERVICES, LLC. ” Practice Location

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