Organization
VIVAVITAL HEALTH SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AHYSSA RENAY CRUZ PHD (ADMINISTRATOR)
(956) 709-8714
Entity
Organization
Contact information
Practice address
211 E EXPRESSWAY 83 STE E, SULLIVAN CITY, TX 78595-2011
(956) 709-8712
(956) 291-3633
Mailing address
PO BOX 1195, SULLIVAN CITY, TX 78595-1195
(956) 709-8714
(956) 291-3633
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
251J00000X
Nursing Care Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
3747P1801X
Personal Care Attendant
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
01/04/2024
Last updated
02/15/2024
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