# FLOR DE LA FE HOME HEALTH LLC

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

## Provider details

- **NPI number:** 1487255394
- **Authorized official:** JOSE A MEDINA (OWNER)
- **Authorized official phone:** (956) 466-8862

## Contact information

- **Practice address:** 4804 BEAVER POND DR, BROWNSVILLE, TX 78520-9225
- **Practice address phone:** (956) 466-8862
- **Mailing address:** 4804 BEAVER POND DR, BROWNSVILLE, TX 78520-9225
- **Mailing address phone:** (956) 466-8862

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 11/06/2020
- **Last updated:** 11/06/2020