Organization
MI MANSION ADULT DAY CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IRMA ALVARADO (OWNER)
(956) 464-4928
Entity
Organization
Contact information
Practice address
307 S MAIN ST, DONNA, TX 78537-3267
(956) 464-4928
Mailing address
307 S MAIN ST, DONNA, TX 78537-3267
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
119497
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
75R7026
DADS
TX
Enumeration date
10/26/2007
Last updated
10/26/2007
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