Organization
LA FUENTE INC.
Active
Other names
LA FUENTE ADULT DAY CARE
Organization subpart
No
Provider details
NPI number
Authorized official
VERONICA ALEMAN (ADMINISTRATOR)
(956) 485-2400
Entity
Organization
Contact information
Practice address
1285 E EXPRESSWAY 83, SULLIVAN CITY, TX 78595
(956) 485-9650
(956) 485-9652
Mailing address
PO BOX 280, SULLIVAN CITY, TX 78595-0280
(956) 485-9650
(956) 485-9652
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
118857
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003055000
—
TX
Enumeration date
05/24/2007
Last updated
08/23/2023
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