Organization Name: | TRINIDAD ADULT DAY CARE CENTER |
NPI Number: | 1265621304 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | IRA ROBERTS (DIRECTOR) |
Mailing Address: | 102 E Colorado Rio Hondo |
State: | TX US |
Postal Code: | 78583 |
Phone Number: | 9567482657 |
Fax Number: | |
NPI Enumeration Date: | 10/15/2007 |
NPI Last Update Date: | 10/15/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 302R00000X |
License Number: | 010299 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Managed Care Organizations |
Taxonomy Classification: | Health Maintenance Organization |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) A form of health insurance in which its members prepay a premium for the HMO |