Organization
DOUBLE CROWN CASTLE INC
Active
Other names
LA PALOMA DAY HEALTH SERVICES
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOE HENRY DELGADO (REGISTERED AGENT)
(361) 592-5222
Entity
Organization
Contact information
Practice address
1212 N 14TH ST, KINGSVILLE, TX 78363-4013
(361) 592-1299
(361) 592-1517
Mailing address
1212 N 14TH ST, SUITE 3, KINGSVILLE, TX 78363-4013
(361) 592-5222
(361) 592-5639
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
000328200
TX
261QA0600X
Adult Day Care Clinic/Center
000345500
TX
Other
Enumeration date
08/07/2013
Last updated
08/07/2013
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