NPI:
1982291316
Provider Name:
CRISTAL PROVIDER SERVICES, LLC.
Former Legal Business Name: CRISTAL PROVIDER SERVICES, LLC.
Classification:
Technician - 3747P1801X
Entity Type:
Organization
Specialization: Personal Care Attendant
Address:
1002 N AVASOLO ST
RIO GRANDE CITY, TX
ZIP 78582
Phone:
(956) 317-1009
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CRISTAL PROVIDER SERVICES, LLC. is a personal care attendant technician in Rio Grande City, TX. The provider is an individual who provides assistance with eating, bathing, dressing, personal hygiene, activities of daily living as specified in the plan of care. Services which are incidental to the care furnished, or essential to the health and welfare of the individual may also be provided. Personal care providers must meet state defined training and certification standards CRISTAL PROVIDER SERVICES, LLC. NPI is 1982291316. The provider is registered as an organization entity type and is a single specialty group.
The provider Former Legal Business Name Is Cristal Provider Services, Llc..
The provider's business location address is:
1002 N AVASOLO ST
RIO GRANDE CITY, TX
ZIP 78582-811
Phone: (956) 317-1009
Fax: (956) 488-0525
The provider's authorized official is Roy Gonzalez .
The authorized official title is Ceo and has the following contact phone number (956) 735-3341.
The enumeration date for this NPI number is 12/31/2020 and was last updated on 2/13/2024.