Organization
ABILENE ADULT DAY CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA CORNWELL RN (EXECUTIVE DIRECTOR)
(325) 672-5742
Entity
Organization
Contact information
Practice address
3518 S 7TH ST, ABILENE, TX 79605-2818
(325) 672-5742
(325) 672-5135
Mailing address
3518 S 7TH ST, ABILENE, TX 79605-2818
(325) 672-5742
(325) 672-5135
Taxonomy
Speciality
Code
Description
License number
State
311Z00000X
Custodial Care Facility
Primary
116368
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
003306
TDADS FACILITY NUMBER
TX
Enumeration date
10/24/2006
Last updated
08/22/2020
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