Provider Demographics
NPI:1891945515
Name:SAINT PETER'S PERSONAL ASSISTANCE SERVICES
Entity Type:Organization
Organization Name:SAINT PETER'S PERSONAL ASSISTANCE SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARIA
Authorized Official - Middle Name:ELENA
Authorized Official - Last Name:GOMEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:956-358-3671
Mailing Address - Street 1:412 W ORANGE AVE
Mailing Address - Street 2:
Mailing Address - City:EDINBURG
Mailing Address - State:TX
Mailing Address - Zip Code:78541-8385
Mailing Address - Country:US
Mailing Address - Phone:956-358-3671
Mailing Address - Fax:956-381-0385
Practice Address - Street 1:412 W ORANGE AVE
Practice Address - Street 2:
Practice Address - City:EDINBURG
Practice Address - State:TX
Practice Address - Zip Code:78541-8385
Practice Address - Country:US
Practice Address - Phone:956-358-3671
Practice Address - Fax:956-381-0385
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-09-30
Last Update Date:2009-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health