| Organization Name: | DIAMANTINA OLIVARES DBA GENESIS ADULT DAY CARE |
| NPI Number: | 1528260478 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | DIAMANTINA OLIVAREZ (OWNER) |
| Mailing Address: | 2820 W Expressway 83 Palmview |
| State: | TX US |
| Postal Code: | 785728755 |
| Phone Number: | 9565836967 |
| Fax Number: | 9565830484 |
| NPI Enumeration Date: | 06/04/2007 |
| NPI Last Update Date: | 07/09/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QA0600X |
| License Number: | 119209 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Adult Day Care |
| Taxonomy Definition: | |