Provider Demographics
NPI:1770842197
Name:DINO HOMEHEALTH CARE SERVICES PLLC
Entity Type:Organization
Organization Name:DINO HOMEHEALTH CARE SERVICES PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:ELIZABETH
Authorized Official - Middle Name:
Authorized Official - Last Name:RUIZ-MORALES
Authorized Official - Suffix:
Authorized Official - Credentials:SLP
Authorized Official - Phone:956-580-1110
Mailing Address - Street 1:6120 N SHARY RD
Mailing Address - Street 2:
Mailing Address - City:MISSION
Mailing Address - State:TX
Mailing Address - Zip Code:78573-8333
Mailing Address - Country:US
Mailing Address - Phone:956-580-1110
Mailing Address - Fax:956-580-1138
Practice Address - Street 1:1315 W MAIN AVE.
Practice Address - Street 2:STE. 11
Practice Address - City:ALTON
Practice Address - State:TX
Practice Address - Zip Code:78573-0000
Practice Address - Country:US
Practice Address - Phone:956-580-1110
Practice Address - Fax:956-580-1138
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-05-04
Last Update Date:2012-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health