NPI:
1154462497
Provider Name:
LONGORIA PERSONAL CARE HOME, INC
Former Legal Business Name: LONGORIA PERSONAL CARE HOME
Classification:
Assisted Living Facility - 3104A0625X
Entity Type:
Organization
Specialization: Assisted Living, Mental Illness
Address:
16740 IH 35 S UNIT 2
ATASCOSA, TX
ZIP 78002
Phone:
(210) 622-9808
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LONGORIA PERSONAL CARE HOME, INC is an assisted living and mental illness assisted living facility in Atascosa, TX. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but need special guidance, assistance and/or monitoring as the result of a psychiatric problem. This type of facility requires a staff with special training in mental health training and dealing with psychiatric emergencies. LONGORIA PERSONAL CARE HOME, INC NPI is 1154462497. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Longoria Personal Care Home.
The provider's business location address is:
16740 IH 35 S UNIT 2
ATASCOSA, TX
ZIP 78002-773
Phone: (210) 622-9808
Fax: (210) 622-3731
The provider's authorized official is Magdalena Longoria .
The authorized official title is Owner and has the following contact phone number (210) 622-9808.
The enumeration date for this NPI number is 2/9/2007 and was last updated on 3/18/2015.