Provider Demographics
NPI:1760622070
Name:MID VALLEY HOMECARE SERVICES, LLC.
Entity Type:Organization
Organization Name:MID VALLEY HOMECARE SERVICES, LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARISA
Authorized Official - Middle Name:L
Authorized Official - Last Name:WEAKLEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:956-565-9228
Mailing Address - Street 1:242 S. TEXAS AVE, STE # 9
Mailing Address - Street 2:
Mailing Address - City:MERCEDES
Mailing Address - State:TX
Mailing Address - Zip Code:78570-3135
Mailing Address - Country:US
Mailing Address - Phone:956-565-9228
Mailing Address - Fax:956-565-9149
Practice Address - Street 1:242 S. TEXAS AVE, STE # 9
Practice Address - Street 2:
Practice Address - City:MERCEDES
Practice Address - State:TX
Practice Address - Zip Code:78570-3135
Practice Address - Country:US
Practice Address - Phone:956-565-9228
Practice Address - Fax:956-565-9149
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-02-26
Last Update Date:2009-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care