Organization
EXTREME ACTIVITIES INC
Active
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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