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NPI Code Detail

MEDICARE: BEYOND DREAMS PRIMARY HOME CARE INC

MEDICARE: BEYOND DREAMS PRIMARY HOME CARE INC
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
1251J00000XNursing Care Agency
2253Z00000XIn Home Supportive Care Agency
33747P1801XPersonal Care Attendant

General Provider Information

NPI Number : 1649746553
Entity Type Code : Organization
Provider Name (Legal Business Name) : BEYOND DREAMS PRIMARY HOME CARE INC
Provider Business Mailing Address
First Line : PO BOX 532302
Second Line :
City : HARLINGEN
State : TX
Zip : 78553-2302
Country : US
Telephone Number : 956-254-8075
Fax Number : 956-435-0253
Provider Business Practice Location Address
First Line : 426 DYANEZ ST
Second Line :
City : MERCEDES
State : TX
Zip : 78570-4776
Country : US
Telephone Number : 956-254-8075
Fax Number : 956-435-0253
Authorized Official
Title or Position : OWNER
Name : JULI ANN GONZALEZ
Credential :
Telephone Number : 956-254-8075
Provider Enumeration Date : 10/17/2018
Last Update Date : 08/18/2021

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Directions to “BEYOND DREAMS PRIMARY HOME CARE INC ” Practice Location

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