Organization
CORAZON CON CORAZON ADULT DAY CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. NELLY E SOLIS RN (DIRECTOR/OWNER)
(956) 584-7001
Entity
Organization
Contact information
Practice address
1300 S BRYAN RD, SUITE 103, MISSION, TX 78572-6626
(956) 584-7001
(956) 584-7024
Mailing address
1300 S BRYAN RD, SUITE 103, MISSION, TX 78572-6626
(956) 584-7001
(956) 584-7024
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
N/A
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001017109
—
TX
Enumeration date
08/15/2007
Last updated
03/17/2011
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