MEDICARE: WELLNESS BY CLAIRE 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
1	3747P1801X	Personal Care Attendant
2	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1790552826
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WELLNESS BY CLAIRE LLC

Provider Business Mailing Address
First Line	:	604 S 1ST ST
Second Line	:
City	:	MCALLEN
State	:	TX
Zip	:	78501-1122
Country	:	US
Telephone Number	:	956-457-4452
Fax Number	:

Provider Business Practice Location Address
First Line	:	604 S 1ST ST
Second Line	:
City	:	MCALLEN
State	:	TX
Zip	:	78501-1122
Country	:	US
Telephone Number	:	956-457-4452
Fax Number	:

Authorized Official
Title or Position	:	OWNER/ PRESIDENT
Name	:	CLAIRE GARCIA
Credential	:
Telephone Number	:	956-457-4452

Provider Enumeration Date	:	12/08/2023
Last Update Date	:	12/08/2023

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