Organization
DOMINION SENIOR SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIA ELENA HINOJOSA (OWNER)
(956) 568-3979
Entity
Organization
Contact information
Practice address
6419 MCPHERSON RD STE H, LAREDO, TX 78041-6215
(956) 568-3979
(956) 568-4014
Mailing address
6419 MCPHERSON RD STE H, LAREDO, TX 78041-6215
(956) 568-3979
(956) 568-4014
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
136846
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104752
—
TX
Enumeration date
06/14/2013
Last updated
06/14/2013
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