Organization
CANUTILLO ADULT DAY CARE
Active
Organization
CANUTILLO ADULT DAY CARE
Active
Parent organization
LCE CORRAL LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
LCE CORRAL LLC
Authorized official
LORENA CORRAL MANAGER (MANAGER)
(915) 222-5635
Entity
Organization
Contact information
Practice address
6845 DONIPHAN DR STE B, CANUTILLO, TX 79835-5048
(915) 222-5635
Mailing address
6845 DONIPHAN DR STE B, CANUTILLO, TX 79835-5048
(915) 222-5635
Taxonomy
Speciality
Code
Description
License number
State
305S00000X
Point of Service
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000000
NONE
TX
Enumeration date
10/15/2015
Last updated
10/15/2015
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