Organization
AMISTAD ADULT DAYCARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RUBEN CARRILLO (DIRECTOR)
(830) 776-0524
Entity
Organization
Contact information
Practice address
2431 DEL RIO BLVD, EAGLE PASS, TX 78852-3216
(830) 773-8610
Mailing address
2431 DEL RIO BLVD, EAGLE PASS, TX 78852-3216
(830) 773-8610
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
—
TX
Other
Enumeration date
11/21/2011
Last updated
11/21/2011
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