Provider Demographics
NPI:1225349475
Name:ALIANZA PERSONAL CARE INC.
Entity Type:Organization
Organization Name:ALIANZA PERSONAL CARE INC.
Other - Org Name:ALIANZA PERSONAL CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:ENEDINA
Authorized Official - Middle Name:
Authorized Official - Last Name:CORTEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:915-599-9856
Mailing Address - Street 1:10921 PELLICANO DR
Mailing Address - Street 2:SUITE 115
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79935-4603
Mailing Address - Country:US
Mailing Address - Phone:915-599-9856
Mailing Address - Fax:
Practice Address - Street 1:10921 PELLICANO DR STE 115
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79935-4604
Practice Address - Country:US
Practice Address - Phone:915-599-9856
Practice Address - Fax:915-591-9876
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-06-22
Last Update Date:2022-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care