| Kindred Spirit Social & Community Services | |
|
4200 N Raul Longoria Rd San Juan TX 78589-3680 | |
| (956) 783-9433 | |
| (956) 783-9028 |
| Full Name | Kindred Spirit Social & Community Services |
|---|---|
| Speciality | Social Worker |
| Location | 4200 N Raul Longoria Rd, San Juan, Texas |
| Authorized Official Name and Position | Enedina Eliza Enriquez (OWNER) |
| Authorized Official Contact | 9567839433 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kindred Spirit Social & Community Services Po Box 956 San Juan TX 78589-0956 Ph: (956) 783-9433 | Kindred Spirit Social & Community Services 4200 N Raul Longoria Rd San Juan TX 78589-3680 Ph: (956) 783-9433 |
| NPI Number | 1568689693 |
|---|---|
| Provider Enumeration Date | 04/19/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568689693 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 104100000X | Social Worker | 28207 (Texas) | Primary |
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