Organization
LA CASA DE SUSY ADULT DAY CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM CHADWICK NUNNERY (OWNER)
(956) 380-1133
Entity
Organization
Contact information
Practice address
1313 S 18TH AVE, EDINBURG, TX 78539-5811
(956) 380-1133
(956) 380-1115
Mailing address
1313 S 18TH AVE, EDINBURG, TX 78539-5811
(956) 380-1133
(956) 380-1115
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
120757
TX
Other
Enumeration date
09/10/2007
Last updated
09/10/2007
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