# DHC DIVINE HEALTH CARE, LLC

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

## Provider details

- **NPI number:** 1902356918
- **Authorized official:** LISA ANN BLUM RN (ADMINISTRATOR)
- **Authorized official phone:** (956) 563-7509

## Contact information

- **Practice address:** 4309 N 10TH ST STE C, MCALLEN, TX 78504-3020
- **Practice address phone:** (956) 563-7509
- **Practice address fax:** (956) 687-7509
- **Mailing address:** 4309 N 10TH ST STE C, MCALLEN, TX 78504-3020
- **Mailing address phone:** (956) 563-7509
- **Mailing address fax:** (956) 687-7509

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |
| 251G00000X | Community Based Hospice Care Agency | 013812 | TX | — |
| 251J00000X | Nursing Care Agency | — | NULL | — |
| 3747P1801X | Personal Care Attendant | — | NULL | — |
| 3747P1801X | Personal Care Attendant | — | — | — |

## Other

- **Enumeration date:** 10/13/2016
- **Last updated:** 02/06/2019