Longoria Personal Care Home, Inc

Organization Active NPI Assisted Living Facility (Mental Illness) · Atascosa, TX

NPI 1154462497 · NPPES record last updated Mar 18, 2015

Key facts

NPI
1154462497
Entity type
Organization (NPI type 2)
Primary specialty
Assisted Living Facility (Mental Illness) 3104A0625X
License
118936 (TX)
Legal business name
LONGORIA PERSONAL CARE HOME, INC
Practice address
16740 Ih 35 S Unit 2
Atascosa, TX 78002-5773
Phone
(210) 622-9808
Fax
(210) 622-3731
NPI assigned
Feb 9, 2007
Organization subpart
No

Authorized official

Name
Ms. Magdalena Longoria
Title
Owner
Phone
(210) 622-9808

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility (Mental Illness) 3104A0625X 118936 TX Yes

Addresses

Primary practice location

16740 Ih 35 S Unit 2
Atascosa, TX 78002-5773

Mailing address

16740 Ih 35 S Unit 2
Atascosa, TX 78002-5773
Phone (210) 622-9808

Other names

  • Longoria Personal Care Home Former legal business name

Other providers in Atascosa, TX

All providers in Atascosa, TX · Assisted Living Facility (Mental Illness) in Texas

Sources for this page

Verify at the official NPI Registry.