Organization
LIFELINE VALLEY CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERIC ROHDE (MANAGING MEMBER)
(309) 664-7930
Entity
Organization
Contact information
Practice address
1313 W POLK AVE, #23, PHARR, TX 78577-2136
(956) 283-0106
(956) 283-9046
Mailing address
1313 W POLK AVE STE 23, PHARR, TX 78577-2141
(956) 283-0106
(956) 283-9046
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2856676-03
—
TX
05
—
2856676-04
—
TX
05
—
2856676-05
—
TX
Enumeration date
04/11/2011
Last updated
11/05/2025
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