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Organization
INNOVATIVE VALLEY HOME HEALTH LLC
Active
Organization
INNOVATIVE VALLEY HOME HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELEONZETTA BONILLA (CEO)
(956) 245-6050
Entity
Organization
Contact information
Practice address
1510 S EXPRESSWAY 83 STE B, HARLINGEN, TX 78550-6302
(956) 245-1235
(956) 440-0856
Mailing address
1510 S EXPRESSWAY 83 STE B, HARLINGEN, TX 78550-6302
(956) 873-4483
(956) 440-0856
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
27449
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
202804501
—
TX
Enumeration date
08/29/2012
Last updated
02/22/2016
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