Organization Name: | LANDO ADULT DAY CARE, INC. |
NPI Number: | 1215084264 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | REUBEN TODD GARCIA (ADMININSTRATOR) |
Mailing Address: | 63 N Reynolds St Alice |
State: | TX US |
Postal Code: | 783324933 |
Phone Number: | 3616645615 |
Fax Number: | 3616646565 |
NPI Enumeration Date: | 01/04/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QA0600X |
License Number: | 116144 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Adult Day Care |
Taxonomy Definition: |