Healthcare Provider Details

I. General information

NPI: 1245465848
Provider Name (Legal Business Name): RGV HOME HEALTH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/26/2009
Last Update Date: 05/26/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1711 SCHOOL LN
MISSION TX
78572-4504
US

IV. Provider business mailing address

1711 SCHOOL LN
MISSION TX
78572-4504
US

V. Phone/Fax

Practice location:
  • Phone: 956-867-4164
  • Fax:
Mailing address:
  • Phone: 956-867-4164
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MRS. EUNICE RAQUEL OLIVO
Title or Position: OWNER
Credential:
Phone: 956-867-4164