# VIVAVITAL HEALTH SERVICES

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

## Provider details

- **NPI number:** 1356111942
- **Authorized official:** DR. AHYSSA RENAY CRUZ PHD (ADMINISTRATOR)
- **Authorized official phone:** (956) 709-8714

## Contact information

- **Practice address:** 211 E EXPRESSWAY 83 STE E, SULLIVAN CITY, TX 78595-2011
- **Practice address phone:** (956) 709-8712
- **Practice address fax:** (956) 291-3633
- **Mailing address:** PO BOX 1195, SULLIVAN CITY, TX 78595-1195
- **Mailing address phone:** (956) 709-8714
- **Mailing address fax:** (956) 291-3633

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | — |
| 251J00000X | Nursing Care Agency | — | NULL | — |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | Yes |
| 3747P1801X | Personal Care Attendant | — | NULL | — |
| 3747P1801X | Personal Care Attendant | — | — | — |
| 385H00000X | Respite Care | — | NULL | — |

## Other

- **Enumeration date:** 01/04/2024
- **Last updated:** 02/15/2024