Organization
MEMORY LANE ADULT DAYCARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ARMANDO CABALLERO LVN (DIRECTOR)
(956) 463-7545
Entity
Organization
Contact information
Practice address
5820 N CAGE BLVD, SUITE 29, PHARR, TX 78577-7825
(956) 463-7545
Mailing address
5820 N CAGE BLVD, SUITE 29, PHARR, TX 78577
(956) 463-7545
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Enumeration date
08/03/2010
Last updated
08/03/2010
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