Organization Name: | ALEGRIA, INC. |
NPI Number: | 1255736443 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | AIDE MUNOZ (PROGRAM DIRECTOR) |
Mailing Address: | 1101 C N Perry Rd Calexico |
State: | CA US |
Postal Code: | 922319723 |
Phone Number: | 7607688419 |
Fax Number: | 7607688491 |
NPI Enumeration Date: | 10/30/2014 |
NPI Last Update Date: | 12/04/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QA0600X |
License Number: | 060000790 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Adult Day Care |
Taxonomy Definition: |