Ensenada Adult Day Care

NPI 1396782264 - Clinic/Center - 261QA0600X

NPI Details
NPI 1396782264
Enumeration Date 06/01/2006
Last Updated 06/18/2008
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name ROBERTO JUAN ROBERTO
Position DIRECTOR/GENERAL PARTNER
Phone (956) 849-1166
Fax (956) 849-5070
Practice Location
1618 E GRANT ST
ROMA TX, 78584-8144, US
Phone (956) 849-1166
Fax (956) 849-5070
Business Location
PO BOX 1003
ROMA TX, 78584-1003, US
Phone (956) 849-1166
Fax (956) 849-5070
Toxanomy
Taxonomy Code 261QA0600X
License State Texas
License Number 115089
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According to our database, Ensenada Adult Day Care NPI is 1396782264, taxonomy code is 261QA0600X and license number is 115089, license state is located at Texas. Ensenada Adult Day Care physically located at 1618 E Grant St, Roma TX, 78584-8144. NPI Number 1033115704 has the healthcare provider type.

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1396782264 NPI number is provided on an as is basis without warranty of any kind. 1396782264 is maintained by the National Plan & Provider Enumeration System. The contents of Ensenada Adult Day Care are for informational purposes only.