Organization Name: | GRACE CENTER ADULT DAY CARE & RECREATION |
NPI Number: | 1154500429 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | SAMUEL VALLEJO SANCHEZ (OWNER) |
Mailing Address: | 502 W Railroad St Weslaco |
State: | TX US |
Postal Code: | 785965942 |
Phone Number: | 9569698786 |
Fax Number: | 9569698954 |
NPI Enumeration Date: | 11/02/2007 |
NPI Last Update Date: | 06/27/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QA0600X |
License Number: | 119889 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Adult Day Care |
Taxonomy Definition: |