Provider Demographics
NPI:1518191535
Name:MI VALLE HEALTH CARE, LLC
Entity Type:Organization
Organization Name:MI VALLE HEALTH CARE, LLC
Other - Org Name:ONLY LOVE PCS & PROVIDER CARE SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ALTERNATE ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:MELODY
Authorized Official - Middle Name:NICOLE
Authorized Official - Last Name:CLARKE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:956-631-7228
Mailing Address - Street 1:5500 N 29TH ST
Mailing Address - Street 2:
Mailing Address - City:MCALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:78504-5109
Mailing Address - Country:US
Mailing Address - Phone:956-631-7228
Mailing Address - Fax:956-631-7885
Practice Address - Street 1:5500 N 29TH ST
Practice Address - Street 2:
Practice Address - City:MCALLEN
Practice Address - State:TX
Practice Address - Zip Code:78504-5109
Practice Address - Country:US
Practice Address - Phone:956-631-8844
Practice Address - Fax:956-631-8855
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-05-05
Last Update Date:2022-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care