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Eighteen Lac, INC

Home Health in McAllen, TX. Organization (NPI-2).

NPI number1750488128
StatusActive
Last updated in NPPESDec 29, 2014

Details

NPI
1750488128
Entity type
Organization (NPI-2)
Legal business name
Eighteen Lac, INC
Organization subpart
No
Enumeration date
Sep 20, 2006
Last updated
Dec 29, 2014

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
251E00000X Home Health011576TXYes
251E00000X Home Health010768TX

Other names

  • Divinity Home Healthcare (Doing Business As)

Practice location

2208 Primrose
Suite J-2
McAllen, TX 78504

Phone 956-618-0040 · Fax 956-618-0060

Mailing address

2208 Primrose
Suite J-2
McAllen, TX 78504

Phone 956-618-0040 · Fax 956-618-0060

Authorized official

Osama Kalam
Administrator
9566180040

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