Provider Demographics
NPI:1003037839
Name:CONSUELO GARZA
Entity Type:Organization
Organization Name:CONSUELO GARZA
Other - Org Name:EL VAQUERO ADULT DAY CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MISS
Authorized Official - First Name:CONSUELO
Authorized Official - Middle Name:
Authorized Official - Last Name:GARZA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:956-365-4420
Mailing Address - Street 1:617 W 5TH ST
Mailing Address - Street 2:
Mailing Address - City:WESLACO
Mailing Address - State:TX
Mailing Address - Zip Code:78596-5809
Mailing Address - Country:US
Mailing Address - Phone:956-365-4420
Mailing Address - Fax:956-421-4689
Practice Address - Street 1:1926 N 77 SUNSHINE STRIP
Practice Address - Street 2:
Practice Address - City:HARLINGEN
Practice Address - State:TX
Practice Address - Zip Code:78550-4125
Practice Address - Country:US
Practice Address - Phone:956-648-4167
Practice Address - Fax:956-365-4407
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-01
Last Update Date:2008-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes311ZA0620XNursing & Custodial Care FacilitiesCustodial Care FacilityAdult Care Home