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Organization

MI TIERRA ADULT DAY CARE, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. FRANSISCO RANGEL SR. (OWNER / PRESIDENT)
(956) 400-5174
Entity
Organization

Contact information

Practice address
2406 BROCK ST STE 7, MISSION, TX 78572-3375
(956) 776-6364
Mailing address
2406 BROCK ST STE 7, MISSION, TX 78572-3375
(956) 776-6364

Taxonomy

Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary

Other

Enumeration date
04/21/2010
Last updated
04/21/2010
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