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Organization
MESQUITE HOME HEALTH, LLC
Active
Organization
MESQUITE HOME HEALTH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SUSAN MICHELLE RUVALCABA RN (ADMINISTRATOR)
(956) 361-5558
Entity
Organization
Contact information
Practice address
594 JOSE MARTI BLVD, BROWNSVILLE, TX 78526-1787
(956) 361-5558
(956) 361-5559
Mailing address
594 JOSE MARTI BLVD, BROWNSVILLE, TX 78526-1787
(956) 361-5558
(956) 361-5559
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
251J00000X
Nursing Care Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
375357501
—
TX
Enumeration date
05/04/2009
Last updated
12/26/2018
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