Organization
VALLE LA QUINTA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PETER ISASSI (MANAGER)
(956) 589-2498
Entity
Organization
Contact information
Practice address
881 S SAM HOUSTON BLVD, SAN BENITO, TX 78586-3062
(956) 281-3335
Mailing address
881 S SAM HOUSTON BLVD, SAN BENITO, TX 78586-3062
(956) 281-3335
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
—
—
Other
Enumeration date
04/29/2020
Last updated
04/29/2020
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