Organization
DHC DIVINE HEALTH CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LISA ANN BLUM RN (ADMINISTRATOR)
(956) 563-7509
Entity
Organization
Contact information
Practice address
4309 NORTH 10TH STREET, STE. C, MCALLEN, TX 78504
(956) 563-7509
(956) 687-7509
Mailing address
4309 NORTH 10TH STREET, STE. C, MCALLEN, TX 78504
(956) 563-7509
(956) 687-7509
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
013812
TX
3747A0650X
Attendant Care Provider
—
—
3747P1801X
Personal Care Attendant
—
—
405300000X
Prevention Professional
—
—
Other
Enumeration date
11/08/2010
Last updated
02/23/2017
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