# DOMINION PROVIDER SERVICES, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1205386455
- **Authorized official:** MRS. MARIA ELENA HINOJOSA (OWNER/ADMINISTRATOR)
- **Authorized official phone:** (956) 568-3979

## Contact information

- **Practice address:** 1008 E HILLSIDE RD, LAREDO, TX 78041-3287
- **Practice address phone:** (956) 568-3979
- **Practice address fax:** (956) 568-4014
- **Mailing address:** 1008 E HILLSIDE RD, LAREDO, TX 78041-3287
- **Mailing address phone:** (956) 568-3979
- **Mailing address fax:** (956) 568-4014

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | 016977 | TX | Yes |

## Other

- **Enumeration date:** 10/12/2016
- **Last updated:** 10/12/2016