Organization Name: | SANTA CRUZ DAY CARE FOR ADULTS, LLC |
NPI Number: | 1629197033 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | EZEQUIEL OMAR SALAZAR (OWNER) |
Mailing Address: | 834 Palm Dr Elsa |
State: | TX US |
Postal Code: | 785432070 |
Phone Number: | 9562626229 |
Fax Number: | |
NPI Enumeration Date: | 03/28/2007 |
NPI Last Update Date: | 07/08/2007 |
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: |