Organization Name: | HEAVENLY DAYS ADULT DAY CARE CENTER INC |
NPI Number: | 1013070846 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MARIA DS YSA (DIRECTOR) |
Mailing Address: | 2014 F Business Hwy 83 Suite B Mission |
State: | TX US |
Postal Code: | 78572 |
Phone Number: | 9565834004 |
Fax Number: | 9565812149 |
NPI Enumeration Date: | 12/19/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QA0600X |
License Number: | 117772 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Adult Day Care |
Taxonomy Definition: |