Provider Demographics
NPI:1073817250
Name:VICTORIA'S IN-HOME CARE
Entity type:Organization
Organization Name:VICTORIA'S IN-HOME CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:VICTORIA
Authorized Official - Middle Name:YGLECIAS
Authorized Official - Last Name:RAYAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:915-820-7154
Mailing Address - Street 1:12456 PASEO ALEGRE DR
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79928-5688
Mailing Address - Country:US
Mailing Address - Phone:915-820-7154
Mailing Address - Fax:
Practice Address - Street 1:12456 PASEO ALEGRE DR
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79928-5688
Practice Address - Country:US
Practice Address - Phone:915-820-7154
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-01-03
Last Update Date:2011-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care