Organization
GENESIS ADULT DAY CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIAMANTINA OLIVARES (OWNER/ADMIN)
(956) 583-6967
Entity
Organization
Contact information
Practice address
6920 W EXPRESSWAY 83, PALMVIEW, TX 78572-9558
(956) 583-6967
(956) 583-0484
Mailing address
PO BOX 497, PENITAS, TX 78576-0497
(956) 583-6967
(956) 583-0484
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
119209
TX
261QA0600X
Adult Day Care Clinic/Center
Primary
—
—
Other
Enumeration date
01/05/2007
Last updated
08/12/2020
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