Organization Name: | FAMILY IN FAITH ADULT DAY CARE, LLC |
NPI Number: | 1083897151 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | SAN JUANITA EUZEBIO (OWNER) |
Mailing Address: | 881 S Sam Houston Blvd San Benito |
State: | TX US |
Postal Code: | 785863062 |
Phone Number: | 9563997812 |
Fax Number: | 9563882785 |
NPI Enumeration Date: | 12/12/2007 |
NPI Last Update Date: | 12/12/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QA0600X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Adult Day Care |
Taxonomy Definition: |