Organization
LOS PRIMITOS ADULT DAY CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LESLIE MICHELLE TOVAR (DIRECTOR)
(956) 529-5074
Entity
Organization
Contact information
Practice address
2605 W MILE 5 RD STE B1B2, MISSION, TX 78574-0968
(956) 529-5074
(956) 529-5373
Mailing address
2605 W MILE 5 RD STE B1B2, MISSION, TX 78574-0968
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
148726
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
148726
LICENCE
TX
Enumeration date
01/25/2018
Last updated
01/25/2018
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