Organization
CELESTIAL ADULT DAY CARE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSE ALFREDO LOPEZ (ADMINISTRATOR)
(956) 787-1451
Entity
Organization
Contact information
Practice address
301 N CAGE BLVD, SUITE A, PHARR, TX 78577-3966
(956) 787-1451
(956) 787-1457
Mailing address
301 N CAGE BLVD, SUITE A, PHARR, TX 78577-3966
(956) 787-1451
(956) 787-1457
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
102519
TX
Other
Enumeration date
05/31/2007
Last updated
08/22/2020
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