Organization
ALL VALLEY HEALTH CARE INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSE ERNESTO LUGO JR. (PRESIDENT)
(956) 464-7741
Entity
Organization
Contact information
Practice address
2115 LOTT RD, SUITE B, DONNA, TX 78537-5633
(956) 783-4746
(956) 783-7831
Mailing address
2115 LOTT RD, DONNA, TX 78537-5633
(956) 464-7741
(956) 464-0007
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
009099
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
009099
MEDICARE LICENSE NUMBER
TX
01
—
179152702
TPI
TX
01
—
45D1025383
CLIA
TX
01
—
SW22445
SUBMITTER ID
TX
Enumeration date
11/02/2005
Last updated
04/26/2020
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