MEDICARE: DNA HH SERVICES, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency	012103	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	012103	OTHER	TX	LICENSED HOME HEALTH SERVICES

General Provider Information

NPI Number	:	1215192992
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DNA HH SERVICES, LLC

Provider Business Mailing Address
First Line	:	6550 SPRINGFIELD AVE
Second Line	:	SUITE 203
City	:	LAREDO
State	:	TX
Zip	:	78041-6706
Country	:	US
Telephone Number	:	956-753-5800
Fax Number	:	956-753-5801

Provider Business Practice Location Address
First Line	:	6550 SPRINGFIELD AVE
Second Line	:	SUITE 203
City	:	LAREDO
State	:	TX
Zip	:	78041-6706
Country	:	US
Telephone Number	:	956-753-5800
Fax Number	:	956-753-5801

Authorized Official
Title or Position	:	ADMINISTRATOR/OWNER
Name	:	MRS. DORA D. SANCHEZ
Credential	:	RN, MSN
Telephone Number	:	956-753-5800

Provider Enumeration Date	:	07/22/2008
Last Update Date	:	11/25/2014

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Directions to “DNA HH SERVICES, LLC ” Practice Location

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