Organization
CGM PROGRESSIVE SERVICES LLC
Active
Other names
Su Casa Adult Day Care
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DENISE Y GUERRA (MANAGING MEMBER/ADMINISTRATOR)
(956) 702-3870
Entity
Organization
Contact information
Practice address
1305 E JUAREZ ST, PHARR, TX 78577-4316
(956) 702-3870
(956) 702-3875
Mailing address
1305 E JUAREZ ST, PHARR, TX 78577-4316
(956) 702-3870
(956) 702-3875
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
120132
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
TX-108-6084
SPECIAL NUTRITION PROGRAM
TX
Enumeration date
10/03/2007
Last updated
10/03/2007
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