Organization Name: | JOSE HUMBERTO LUNA |
NPI Number: | 1538352158 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JOSE HUMBERTO LUNA (OWNER) |
Mailing Address: | 10896 W Business 83 La Feria |
State: | TX US |
Postal Code: | 785594306 |
Phone Number: | 9567970159 |
Fax Number: | 9567973595 |
NPI Enumeration Date: | 08/27/2007 |
NPI Last Update Date: | 06/19/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QA0600X |
License Number: | 120945 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Adult Day Care |
Taxonomy Definition: |