Organization Name: | EL CHAPARRAL ADULT DAY CARE LLC |
NPI Number: | 1063742351 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | RAQUEL RODRIGUEZ (DIRECTOR) |
Mailing Address: | 3700 W. 5 Mile Ln Mission |
State: | TX US |
Postal Code: | 78574 |
Phone Number: | 9565665811 |
Fax Number: | 9565199881 |
NPI Enumeration Date: | 01/08/2010 |
NPI Last Update Date: | 01/08/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QA0600X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Adult Day Care |
Taxonomy Definition: |