Provider Demographics
NPI:1235418229
Name:TEN LAC INC
Entity Type:Organization
Organization Name:TEN LAC INC
Other - Org Name:ONLY LOVE HOME CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:CYNTHIA
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:SALAZAR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:956-631-8844
Mailing Address - Street 1:833 E ESPERANZA AVE
Mailing Address - Street 2:STE. A
Mailing Address - City:MCALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:78501-1456
Mailing Address - Country:US
Mailing Address - Phone:956-631-8844
Mailing Address - Fax:
Practice Address - Street 1:833 E ESPERANZA AVE
Practice Address - Street 2:STE. A
Practice Address - City:MCALLEN
Practice Address - State:TX
Practice Address - Zip Code:78501-1456
Practice Address - Country:US
Practice Address - Phone:956-631-8844
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-08-09
Last Update Date:2011-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX199538301Medicaid