| Organization Name: | VALENCIA ENTERPRICES INC. DBA MI CASITA ADULT DAY CARE |
| NPI Number: | 1013191345 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ALBERTO VALENCIA (ACCOUNTS) |
| Mailing Address: | 8034 E Us Highway 83 Rio Grande City |
| State: | TX US |
| Postal Code: | 785826116 |
| Phone Number: | 9564851199 |
| Fax Number: | 9564852671 |
| NPI Enumeration Date: | 12/21/2007 |
| NPI Last Update Date: | 12/21/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QA0600X |
| License Number: | 120322 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Adult Day Care |
| Taxonomy Definition: | |