Organization
CROSSROADS AULT DAY CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JUAN R. BARRERA (DIRECTOR)
(956) 487-3700
Entity
Organization
Contact information
Practice address
4574 E US HIGHWAY 83 STE B, RIO GRANDE CITY, TX 78582-7019
(956) 487-3700
(956) 487-3722
Mailing address
202 N. FLORES, RIO GRANDE CITY, TX 78582
(956) 487-3700
(956) 487-3700
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001029234
—
TX
05
—
PENDING
—
TX
Enumeration date
08/06/2009
Last updated
07/01/2024
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