Provider Demographics
NPI:1013191345
Name:VALENCIA ENTERPRICES INC. DBA MI CASITA ADULT DAY CARE
Entity Type:Organization
Organization Name:VALENCIA ENTERPRICES INC. DBA MI CASITA ADULT DAY CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ACCOUNTS
Authorized Official - Prefix:MR
Authorized Official - First Name:ALBERTO
Authorized Official - Middle Name:
Authorized Official - Last Name:VALENCIA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:956-787-4461
Mailing Address - Street 1:8034 E US HIGHWAY 83
Mailing Address - Street 2:
Mailing Address - City:RIO GRANDE CITY
Mailing Address - State:TX
Mailing Address - Zip Code:78582-6116
Mailing Address - Country:US
Mailing Address - Phone:956-485-1199
Mailing Address - Fax:956-485-2671
Practice Address - Street 1:8034 E US HIGHWAY 83
Practice Address - Street 2:
Practice Address - City:RIO GRANDE CITY
Practice Address - State:TX
Practice Address - Zip Code:78582-6116
Practice Address - Country:US
Practice Address - Phone:956-485-1199
Practice Address - Fax:956-485-2671
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-21
Last Update Date:2007-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX120322261QA0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care