Organization
SU CASA ADULT DAY CARE II
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIA ALICIA MORENO OWNER (OWNER)
(956) 969-3656
Entity
Organization
Contact information
Practice address
1305 E JUAREZ, PHARR, TX 78577
(956) 702-3870
(956) 702-3875
Mailing address
318 W RAIL ROAD, WESLACO, TX 78596
(956) 702-3870
(956) 702-3875
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
—
—
Other
Enumeration date
05/12/2008
Last updated
10/25/2019
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