# EIGHTEEN LAC, INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Divinity Home Healthcare
- **Organization subpart:** No

## Provider details

- **NPI number:** 1750488128
- **Authorized official:** MR. OSAMA KALAM (ADMINISTRATOR)
- **Authorized official phone:** (956) 618-0040

## Contact information

- **Practice address:** 2208 PRIMROSE, SUITE J-2, MCALLEN, TX 78504
- **Practice address phone:** (956) 618-0040
- **Practice address fax:** (956) 618-0060
- **Mailing address:** 2208 PRIMROSE, SUITE J-2, MCALLEN, TX 78504
- **Mailing address phone:** (956) 618-0040
- **Mailing address fax:** (956) 618-0060

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | 010768 | TX | — |
| 251E00000X | Home Health Agency | 011576 | TX | Yes |

## Other

- **Enumeration date:** 09/20/2006
- **Last updated:** 12/29/2014