Doctor Name: | MR. EDWARD (EDDIE) D RIOJAS |
NPI Number: | 1417117037 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | ADMINISTRATOR |
License Number: | 000641 |
Business Practice Address: | 14212 Greenwood Rd Atascosa, TX - 780024765 |
Business Phone Number: | 8307093541 |
Business Fax Number: | 8307093541 |
Mailing Address: | 14212 Greenwood Rd, ATASCOSA |
State: | TX |
Postal Code: | 78002 |
Phone Number: | 8307093541 |
Fax Number: | 8307093541 |
NPI Enumeration Date: | 06/17/2008 |
NPI Last Update Date: | 04/30/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 310400000X |
License Number: | 000641 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | TX |
Taxonomy Type: | Nursing & Custodial Care Facilities |
Taxonomy Classification: | Assisted Living Facility |
Taxonomy Specialization: | |
Taxonomy Definition: | A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. |