Organization
MIZPAH ADULT DAYCARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAIDA PEREZ (OWNER)
(956) 387-0388
Entity
Organization
Contact information
Practice address
2311 S CLOSNER BLVD, EDINBURG, TX 78539-6208
(956) 387-0388
(956) 387-0210
Mailing address
2311 S CLOSNER BLVD, EDINBURG, TX 78539-6208
(956) 387-0388
(956) 387-0210
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
12647
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001012533
—
TX
Enumeration date
12/05/2007
Last updated
08/20/2019
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