Organization
DNA HEALTH PROVIDER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIANA LOPEZ (OWNER/PRESIDENT)
(956) 844-3129
Entity
Organization
Contact information
Practice address
5491 E US HIGHWAY 83 STE A, RIO GRANDE CITY, TX 78582-9677
(956) 844-3129
Mailing address
PO BOX 2, GARCIASVILLE, TX 78547-0002
(956) 844-3129
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
3747P1801X
Personal Care Attendant
—
—
Other
Enumeration date
02/27/2017
Last updated
01/31/2019
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