| Organization Name: | RUDY'S ADULT FOSTER HOME L.L.C. |
| NPI Number: | 1952643918 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | RUDY CALDERON (OWNER) |
| Mailing Address: | 13032 Kaitlyn Reece El Paso |
| State: | TX US |
| Postal Code: | 799384318 |
| Phone Number: | 9158551066 |
| Fax Number: | |
| NPI Enumeration Date: | 03/17/2013 |
| NPI Last Update Date: | 03/17/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 320700000X |
| License Number: | 22970091 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Residential Treatment Facilities |
| Taxonomy Classification: | Residential Treatment Facility, Physical Disabilities |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental disabilities and/or mental retardation and are not able to live independently. |