Healthcare Provider Details

I. General information

NPI: 1922297035
Provider Name (Legal Business Name): DAILY LIVING HOME HEALTH INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/15/2007
Last Update Date: 10/15/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

217 W MILLER ST
DILLEY TX
78017-3819
US

IV. Provider business mailing address

217 W MILLER ST
DILLEY TX
78017-3819
US

V. Phone/Fax

Practice location:
  • Phone: 830-965-2034
  • Fax: 830-965-1769
Mailing address:
  • Phone: 830-965-2034
  • Fax: 830-965-1769

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number011313
License Number StateTX

VIII. Authorized Official

Name: MR. SABINO C MENA II
Title or Position: ADMINISTRATOR
Credential: RN
Phone: 830-965-2034