Provider Demographics
NPI:1689813065
Name:LA VALLEE HOME HEALTH, INC.
Entity Type:Organization
Organization Name:LA VALLEE HOME HEALTH, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:CHISLAINE
Authorized Official - Middle Name:
Authorized Official - Last Name:FERAUD
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:956-318-0800
Mailing Address - Street 1:2205 S. CLOSNER BLVD
Mailing Address - Street 2:SUITE G
Mailing Address - City:EDINBURG
Mailing Address - State:TX
Mailing Address - Zip Code:78539-6206
Mailing Address - Country:US
Mailing Address - Phone:956-318-0800
Mailing Address - Fax:956-318-0860
Practice Address - Street 1:2205 S. CLOSNER BLVD
Practice Address - Street 2:SUITE G
Practice Address - City:EDINBURG
Practice Address - State:TX
Practice Address - Zip Code:78539-6206
Practice Address - Country:US
Practice Address - Phone:956-318-0800
Practice Address - Fax:956-318-0860
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-02-09
Last Update Date:2011-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX725398251E00000X
TX013004251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health