| Organization Name: | KEYWEST ADULT DAY CARE |
| NPI Number: | 1003999731 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | HECTOR HUGO VIELMA (DIRECTOR) |
| Mailing Address: | 2508 Fox Pl Eagle Pass |
| State: | TX US |
| Postal Code: | 788524479 |
| Phone Number: | 8307573253 |
| Fax Number: | 8307574330 |
| NPI Enumeration Date: | 10/24/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QA0600X |
| License Number: | 117200 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Adult Day Care |
| Taxonomy Definition: | |