Organization
DONNA ADULT DAY CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSE ERNESTO LUGO JR. (DIRECTOR)
(956) 464-7741
Entity
Organization
Contact information
Practice address
2 MILES SOUTH FM 493, DONNA, TX 78537
(956) 464-0859
(956) 464-0007
Mailing address
2115 LOTT RD, DONNA, TX 78537-5633
(956) 464-7741
(956) 464-0007
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
115013
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
115013
—
TX
05
—
7537006
—
TX
05
—
TX-108 6008
—
TX
Enumeration date
07/03/2006
Last updated
08/22/2020
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