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Organization

BLANCA A. GONZALEZ

Active
Other names
Mi Ranchito Adult Day Care
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. BLANCA A. GONZALEZ (OWNER/ACTIVITY DIRECTOR)
(361) 527-3153
Entity
Organization

Contact information

Practice address
1007 W VIGGIE ST, HEBBRONVILLE, TX 78361-2363
(361) 527-3153
(361) 527-3133
Mailing address
911 N SIGRID AVE, HEBBRONVILLE, TX 78361-2337
(956) 220-6140

Taxonomy

Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
121520
TX

Other

Enumeration date
10/31/2007
Last updated
06/30/2008
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