| Organization Name: | BELLA HACIENDA ADULT DAY CARE, INC |
| NPI Number: | 1003095308 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | LUCIA ELIZONDO (PRESIDENT) |
| Mailing Address: | 4211 W University Dr Edinburg |
| State: | TX US |
| Postal Code: | 785399461 |
| Phone Number: | 9563161700 |
| Fax Number: | 9563161702 |
| NPI Enumeration Date: | 11/02/2007 |
| NPI Last Update Date: | 11/02/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QA0600X |
| License Number: | 121956 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Adult Day Care |
| Taxonomy Definition: | |