Organization
MI SEGUNDA CASA ADULT DAY CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JUAN R VAZQUEZ (DIRECTOR/ACTIVITIES COORDINATTOR)
(956) 251-2253
Entity
Organization
Contact information
Practice address
1605 E HILLSIDE RD STE 2, LAREDO, TX 78041-3460
(956) 608-2053
(956) 608-3623
Mailing address
1605 E HILLSIDE RD STE 2, LAREDO, TX 78041-3460
(956) 608-2053
(956) 608-3623
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
—
—
Other
Enumeration date
01/07/2015
Last updated
06/12/2019
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