Organization
RIVERSIDE ADULT DAY CARE, INC
Active
Organization
RIVERSIDE ADULT DAY CARE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HUGO ERICK SEGOVIANO (OWNER/DIRECTOR)
(956) 504-1799
Entity
Organization
Contact information
Practice address
1474 W PRICE RD, SUITE # 1, BROWNSVILLE, TX 78520-8687
(956) 504-1799
(956) 504-2070
Mailing address
1474 W. PRICE RD STE 1, BROWNSVILLE, TX 78520
(956) 504-1799
(956) 504-2070
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
120365
TX
261QA0600X
Adult Day Care Clinic/Center
DADS147869
TX
261QA0600X
Adult Day Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001003730
—
TX
Enumeration date
07/09/2007
Last updated
10/23/2018
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