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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
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