| Organization Name: | EL PARQUE ADULT DAY CARE INC |
| NPI Number: | 1306040076 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MARIA LYDIA GARZA (OWNER) |
| Mailing Address: | 1639 E Hwy 83 Suite F Rio Grande City |
| State: | TX US |
| Postal Code: | 785823120 |
| Phone Number: | 9564877343 |
| Fax Number: | 9564880383 |
| NPI Enumeration Date: | 06/14/2007 |
| NPI Last Update Date: | 10/02/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QA0600X |
| License Number: | 118837 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Adult Day Care |
| Taxonomy Definition: | |