Organization
LA GUADALUPANA ADULT DAY CARE, INC.
Active
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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