Organization
LA GUADALUPANA ADULT DAY CARE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICHARD GARZA (ADMINISTRATOR)
(830) 757-8130
Entity
Organization
Contact information
Practice address
3407 CATHLEEN, EAGLE PASS, TX 78852-5894
(830) 757-8130
(830) 757-8160
Mailing address
338 N. MONROE ST., EAGLE PASS, TX 78852
(830) 757-8130
(830) 757-8160
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001014284
CONTRACT NUMBER
TX
01
—
D001014284
CONTRACT NUMBER
TX
Enumeration date
07/11/2007
Last updated
06/19/2019
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