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Organization

LIFE DEVELOPMENT

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. ROCKY M GUZMAN (OWNER)
(956) 457-6465
Entity
Organization

Contact information

Practice address
600 W CANTON RD, EDINBURG, TX 78539-6191
(956) 380-1720
(956) 380-1718
Mailing address
600 W CANTON RD, EDINBURG, TX 78539-6191
(956) 380-1720
(956) 380-1718

Taxonomy

Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary

Other

Enumeration date
01/25/2012
Last updated
01/25/2012
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