Organization Name: | TIGRES ADULT DAY CARE LLC |
NPI Number: | 1588988273 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ROLANDO GARZA (DIRECTOR) |
Mailing Address: | 950 S Missouri Ave Mercedes |
State: | TX US |
Postal Code: | 785703444 |
Phone Number: | 9568676589 |
Fax Number: | 9565650700 |
NPI Enumeration Date: | 03/24/2010 |
NPI Last Update Date: | 03/24/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QA0600X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Adult Day Care |
Taxonomy Definition: |