# DIVINE HEALTH SERVICES LLC

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

## Provider details

- **NPI number:** 1255104485
- **Authorized official:** MR. EMMANUEL EDUARDO ELIZONDO (OWNER)
- **Authorized official phone:** (956) 750-6592

## Contact information

- **Practice address:** 124 S US HIGHWAY 83 UNIT 8, ZAPATA, TX 78076-3813, ZAPATA, TX 78076
- **Practice address phone:** (956) 750-6592
- **Mailing address:** 124 S US HIGHWAY 83 UNIT 8, ZAPATA, TX 78076-3813, ZAPATA, TX 78076
- **Mailing address phone:** (956) 265-9075

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |
| 251G00000X | Community Based Hospice Care Agency | — | NULL | — |
| 3747P1801X | Personal Care Attendant | — | NULL | — |
| 3747P1801X | Personal Care Attendant | — | — | — |

## Other

- **Enumeration date:** 10/31/2023
- **Last updated:** 02/24/2025