To the Moon and Back Personal Care LLC
Organization Active NPI In Home Supportive Care Agency · Canutillo, TX
NPI 1285162149 · NPPES record last updated May 23, 2017
Key facts
- NPI
- 1285162149
- Entity type
- Organization (NPI type 2)
- Primary specialty
- In Home Supportive Care Agency 253Z00000X
- Legal business name
- TO THE MOON AND BACK PERSONAL CARE LLC
- Practice address
- 7318 Gillett St
Canutillo, TX 79835-6421 - Phone
- (915) 667-7320
- NPI assigned
- May 23, 2017
- Organization subpart
- No
Authorized official
- Name
- Leslie Daine Rodriguez
- Title
- Owner
- Phone
- (915) 667-7320
Practitioners 1
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| In Home Supportive Care Agency | 253Z00000X | Yes |
Addresses
Primary practice location
7318 Gillett St
Canutillo, TX 79835-6421
Mailing address
PO Box 793
Canutillo, TX 79835-0793
Other providers in Canutillo, TX
- Christopher Romero
- Elizabeth Rosalez
- Liliana Sandoval
- Griselda Anabel Stewart
- Tarleton Dialysis LLC
- Daena Torres
- Total Care Institute PLLC
- Lorena Trevizo
- Sam Tilden Tyson
- Upper Valley Medical Clinic, PLLC
All providers in Canutillo, TX · In Home Supportive Care Agency in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 23, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.