Organization
CRUZ PERSONAL CARE HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA CRUZ RODRIGUEZ (OWNER)
(830) 665-4801
Entity
Organization
Contact information
Practice address
730 COUNTY ROAD 664, DEVINE, TX 78016-4685
(830) 665-4801
Mailing address
730 COUNTY ROAD 664, DEVINE, TX 78016-4685
(830) 665-4801
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
000599
TX
Other
Enumeration date
07/28/2008
Last updated
07/28/2008
Update your record
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