Organization
BLACK CASINO LLC
Active
Organization
BLACK CASINO LLC
Active
Other names
Day Break Adult Day Care
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TERESA PADILLA (SECRETARY)
(956) 726-1812
Entity
Organization
Contact information
Practice address
302 WASHINGTON ST SUITE B, LAREDO, TX 78040
(956) 726-1812
(956) 726-1270
Mailing address
302 WASHINGTON SUITE B, LAREDO, TX 78040
(956) 726-1812
(956) 726-1270
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
149376
TX
261QA0600X
Adult Day Care Clinic/Center
—
—
Other
Enumeration date
03/06/2009
Last updated
06/19/2018
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