Provider Demographics
NPI:1609008911
Name:VALLEY CARE II PRIMARY HOME CARE SERVICES, LLC
Entity Type:Organization
Organization Name:VALLEY CARE II PRIMARY HOME CARE SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ALTERNATE ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:ELIZABETH
Authorized Official - Middle Name:
Authorized Official - Last Name:REYES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:956-313-5679
Mailing Address - Street 1:3000 N MCCOLL RD
Mailing Address - Street 2:SUITE A-6
Mailing Address - City:MCALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:78501-1476
Mailing Address - Country:US
Mailing Address - Phone:956-313-5679
Mailing Address - Fax:
Practice Address - Street 1:3000 N MCCOLL RD
Practice Address - Street 2:SUITE A-6
Practice Address - City:MCALLEN
Practice Address - State:TX
Practice Address - Zip Code:78501-1476
Practice Address - Country:US
Practice Address - Phone:956-313-5679
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-08-20
Last Update Date:2009-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care