| Organization Name: | MARTHA M. BERMEJO DBA ANGELES ADULT DAY CARE |
| NPI Number: | 1245344209 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MARTHA M. BERMEJO (OWNER) |
| Mailing Address: | 2204 Frontier Dr Palmview |
| State: | TX US |
| Postal Code: | 785740369 |
| Phone Number: | 9565832233 |
| Fax Number: | 9565832598 |
| NPI Enumeration Date: | 08/18/2006 |
| NPI Last Update Date: | 10/12/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QA0600X |
| License Number: | 117640 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Adult Day Care |
| Taxonomy Definition: | |