Organization
PENAMA, INCORPORATED
Active
Other names
La Epoca de Oro
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARIA LUISA PENA (CHIEF EXECUTIVE OFFICER)
(956) 722-5468
Entity
Organization
Contact information
Practice address
1002 PASEO DE TIBER, LAREDO, TX 78046-7642
(956) 791-1480
(956) 791-1481
Mailing address
2801 MUSSER ST, LAREDO, TX 78043-2441
(956) 722-5468
(956) 722-8819
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
—
TX
Other
Enumeration date
10/04/2011
Last updated
10/04/2011
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