SAN LORENZO ADULT PROVIDER SERVICES AND PEDIATRICS LLC
Agencies at Hemmingway, El Paso, TX

License number
Texas 016371
Category
Agencies
Type
In Home Supportive Care
Owner
Name: MS. MELISSA PORTILLO
Title: ADMINISTRATOR
Phone: (915) 799-3199
Address
Address
5625 Hemmingway Dr, El Paso, TX 79924
National Provider ID: 1700287034
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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SAN LORENZO ADULT PROVIDER SERVICES AND PEDIATRICS

5625 Hemmingway Dr, El Paso, TX 79924

Doing business as:
San Lorenzo Adult Provider Services and Pediatrics, LLC<br>San Lorenzo Adult Provider Services and Pediatrics
Registration:
Apr 3, 2014
State ID:
0801965532
Business type:
Domestic Limited Liability Company (LLC)
Sole Membe, Member:
Melissa Portillo (Sole Membe, Member)
TIN:
32053676238

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