Provider Demographics
NPI:1619909025
Name:PERFECT CHOICE HEALTH CARE SERVICES, INC.
Entity Type:Organization
Organization Name:PERFECT CHOICE HEALTH CARE SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:MARICELA
Authorized Official - Middle Name:
Authorized Official - Last Name:OLSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:956-487-6196
Mailing Address - Street 1:611 N TEXAS ST
Mailing Address - Street 2:
Mailing Address - City:RIO GRANDE CITY
Mailing Address - State:TX
Mailing Address - Zip Code:78582-3237
Mailing Address - Country:US
Mailing Address - Phone:956-487-6196
Mailing Address - Fax:956-487-4333
Practice Address - Street 1:611 N. TEXAS ST.
Practice Address - Street 2:
Practice Address - City:RIO GRANDE CITY
Practice Address - State:TX
Practice Address - Zip Code:78582-3603
Practice Address - Country:US
Practice Address - Phone:956-487-6196
Practice Address - Fax:956-487-4333
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-07
Last Update Date:2017-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX009822251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX7003133OtherAGENCY ID
TX7003133OtherAGENCY ID