Organization
MINNIE D. CRUZ
Active
Other names
Cruz Personal Care Home
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MINNIE DUNCAN CRUZ (OWNER)
(830) 665-4801
Entity
Organization
Contact information
Practice address
730 COUNTY ROAD 664, DEVINE, TX 78016-4685
(830) 665-4801
(830) 665-4801
Mailing address
730 COUNTY ROAD 664, DEVINE, TX 78016-4685
(830) 665-4801
(830) 665-4801
Taxonomy
Speciality
Code
Description
License number
State
3104A0630X
Assisted Living Facility (Behavioral Disturbances)
Primary
117528
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
$$$$$$$$$
SOCIAL SECURITY #
TX
Enumeration date
08/01/2006
Last updated
05/21/2020
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