| Organization Name: | CASA DE RECUERDOS, LLC |
| NPI Number: | 1811073570 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | SONIA M GARCIA (OWNER) |
| Mailing Address: | 205 W Veterans Blvd Ste. 2 Palmview |
| State: | TX US |
| Postal Code: | 785728158 |
| Phone Number: | 9565835837 |
| Fax Number: | 9565832727 |
| NPI Enumeration Date: | 10/27/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QA0600X |
| License Number: | 117668 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Adult Day Care |
| Taxonomy Definition: | |