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Organization

EIGHTEEN LAC, INC

Active
Other names
Divinity Home Healthcare
Organization subpart
No

Provider details

NPI number
Authorized official
MR. OSAMA KALAM (ADMINISTRATOR)
(956) 618-0040
Entity
Organization

Contact information

Practice address
2208 PRIMROSE, SUITE J-2, MCALLEN, TX 78504
(956) 618-0040
(956) 618-0060
Mailing address
2208 PRIMROSE, SUITE J-2, MCALLEN, TX 78504
(956) 618-0040
(956) 618-0060

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
010768
TX
251E00000X
Home Health Agency
Primary
011576
TX

Other

Enumeration date
09/20/2006
Last updated
12/29/2014
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