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Organization
PENAMA, INCORPORATED
Active
Organization
PENAMA, INCORPORATED
Active
Other names
La Epoca de Oro
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARIA LUISA PENA (CHIEF EXECUTIVE OFFICER)
(956) 722-5468
Entity
Organization
Contact information
Practice address
1002 PASEO DE TIBER, LAREDO, TX 78046-7642
(956) 791-1480
(956) 791-1481
Mailing address
2801 MUSSER ST, LAREDO, TX 78043-2441
(956) 722-5468
(956) 722-8819
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
—
TX
Other
Enumeration date
10/04/2011
Last updated
10/04/2011
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