Organization
MI EDEN ADULT DAY CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROSIE I VASQUEZ (OWNER)
(956) 783-0606
Entity
Organization
Contact information
Practice address
7016 S CAGE BLVD, PHARR, TX 78577-9179
(956) 783-0606
(956) 783-0703
Mailing address
7016 S CAGE BLVD, PHARR, TX 78577-9179
(956) 783-0606
(956) 783-0703
Taxonomy
Speciality
Code
Description
License number
State
251T00000X
PACE Provider Organization
Primary
251T00000X
TX
Other
Enumeration date
01/13/2010
Last updated
01/13/2010
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