Organization
DIVINE HEALTH SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EMMANUEL EDUARDO ELIZONDO (OWNER)
(956) 750-6592
Entity
Organization
Contact information
Practice address
124 S US HIGHWAY 83 UNIT 8, ZAPATA, TX 78076-3813, ZAPATA, TX 78076
(956) 750-6592
Mailing address
124 S US HIGHWAY 83 UNIT 8, ZAPATA, TX 78076-3813, ZAPATA, TX 78076
(956) 265-9075
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
251G00000X
Community Based Hospice Care Agency
—
—
3747P1801X
Personal Care Attendant
—
—
Other
Enumeration date
10/31/2023
Last updated
02/24/2025
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