| Guardian Angels Primary Home Care, Inc. | |
|
2808 Memorial Jr High Dr Eagle Pass TX 78852-3894 | |
| (830) 421-8653 | |
| (830) 773-0008 |
| Full Name | Guardian Angels Primary Home Care, Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 2808 Memorial Jr High Dr, Eagle Pass, Texas |
| Authorized Official Name and Position | Blanca E Perales (OWNER) |
| Authorized Official Contact | 8304218653 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Guardian Angels Primary Home Care, Inc. 2808 Memorial Jr High Dr Po Box 702 Eagle Pass TX 78852-3894 Ph: (830) 421-8653 | Guardian Angels Primary Home Care, Inc. 2808 Memorial Jr High Dr Eagle Pass TX 78852-3894 Ph: (830) 421-8653 |
| NPI Number | 1871765487 |
|---|---|
| Provider Enumeration Date | 03/24/2008 |
| Last Update Date | 04/30/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871765487 | NPI | - | NPPES |
| LIC NO. 014640 | Other | TX | TEXAS DEPARTMENT OF AGING AND DISABILITY SERVICES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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