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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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