Organization Name: | ANGELITOS PRIMARY HOME CARE |
NPI Number: | 1043411242 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | FRANCES GARCIA (OWNER) |
Mailing Address: | 704 E Griffin Pkwy Mission |
State: | TX US |
Postal Code: | 785722922 |
Phone Number: | 9565816242 |
Fax Number: | |
NPI Enumeration Date: | 05/29/2007 |
NPI Last Update Date: | 04/14/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QA0600X |
License Number: | 143545 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | TX |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Adult Day Care |
Taxonomy Definition: |