Provider Demographics
NPI:1467072603
Name:RENE & MARIE LANDERO ENTERPRISES LLC
Entity Type:Organization
Organization Name:RENE & MARIE LANDERO ENTERPRISES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:RENE
Authorized Official - Middle Name:
Authorized Official - Last Name:LANDERO
Authorized Official - Suffix:JR
Authorized Official - Credentials:ADMINISTRATOR
Authorized Official - Phone:210-379-0419
Mailing Address - Street 1:734 MCCAULEY BLVD
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78221-1333
Mailing Address - Country:US
Mailing Address - Phone:210-379-0419
Mailing Address - Fax:
Practice Address - Street 1:734 MCCAULEY BLVD
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78221-1333
Practice Address - Country:US
Practice Address - Phone:210-379-0419
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-04-17
Last Update Date:2020-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health