Organization
MI PUEBLO ADULT DAY CARE INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. YOLANDA RODRIGUEZ MSN,RN (ADMINISTRATOR)
(915) 740-2782
Entity
Organization
Contact information
Practice address
681 HORIZON BLVD, SUITE # E, SOCORRO, TX 79927-4691
(915) 860-8690
(915) 860-7210
Mailing address
681 HORIZON BLVD, SUITE # E, SOCORRO, TX 79927-4691
(915) 860-8690
(915) 860-7210
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
121409
TX
Other
Enumeration date
10/24/2007
Last updated
04/20/2008
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