Organization
LEGACY ADULT DAY CARE, INC.
Active
Organization
LEGACY ADULT DAY CARE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. AMBROSIO HERNANDEZ JR. (OWNER)
(361) 855-0848
Entity
Organization
Contact information
Practice address
5633 S STAPLES ST, CORPUS CHRISTI, TX 78411-4646
(361) 855-0848
(361) 853-4855
Mailing address
5633 S STAPLES ST, CORPUS CHRISTI, TX 78411-4646
(361) 855-0848
(361) 853-4855
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
—
—
Other
Enumeration date
04/14/2010
Last updated
04/14/2010
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