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Organization

MGBR GROUP LLC

Active
Other names
MGBR GROUP L.L.C., Special Moments Adult Day Care
Organization subpart
No

Provider details

NPI number
Authorized official
BLANCA D ROSALES (OWNER)
(956) 519-4966
Entity
Organization

Contact information

Practice address
3800 N FM 492, MISSION, TX 78574
(956) 519-4966
Mailing address
3800 N FM 492, MISSION, TX 78574-4295
(956) 519-4966

Taxonomy

Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
145841
TX
305R00000X
Preferred Provider Organization
135440
TX
305R00000X
Preferred Provider Organization
Primary
145841
TX

Other

Enumeration date
10/18/2012
Last updated
07/26/2018
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