La Vida Divina LLC
NPI #1982247912 in Port Isabel, Texas
Provider Information
- NPI Number
- 1982247912
- Entity Type
- Organization
- Organization Name
- La Vida Divina LLC
- Primary Specialty
- Nursing Care
- Enumeration Date
- Oct 22, 2019
- Last Updated
- Oct 15, 2024
Practice Location
- Address
- 302 E QUEEN ISABELLA BLVD STE C
- City
- Port Isabel
- State
- Texas
- ZIP Code
- 78578-2407
- Phone
- (512) 696-7417
Authorized Official
- Name
- PRISCILLA TORRE
- Title
- ADMINISTRATOR
- Phone
- (512) 696-7417
Specialties & Taxonomy Codes
| Specialty |
|---|
| Home Health |
| Technician - Personal Care Attendant — Personal Care Attendant |
| Nursing Care |
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