Organization
EXTREME ACTIVITIES INC
Active
Other names
Willow Creek Adult Day Care
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SAUL FERNANDEZ JR. (DIRECTOR)
(830) 773-2552
Entity
Organization
Contact information
Practice address
504 VITELA ST, DEL RIO, TX 78840
(830) 775-2552
Mailing address
2321 HILLCREST BLVD, PO BOX 7100, EAGLE PASS, TX 78852-4401
(830) 773-2552
(830) 757-2962
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
119208
TX
Other
Enumeration date
01/02/2007
Last updated
08/22/2020
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