Provider Demographics
NPI:1033285663
Name:ORANGE GROVE ADULT DAY CARE INC
Entity Type:Organization
Organization Name:ORANGE GROVE ADULT DAY CARE INC
Other - Org Name:MI FAMILIA ADULT DAY CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR ADMINISTRATOR PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:JANIE
Authorized Official - Middle Name:
Authorized Official - Last Name:FLORES
Authorized Official - Suffix:
Authorized Official - Credentials:LVN
Authorized Official - Phone:361-661-0705
Mailing Address - Street 1:1881 S REYNOLDS
Mailing Address - Street 2:
Mailing Address - City:ALICE
Mailing Address - State:TX
Mailing Address - Zip Code:78332
Mailing Address - Country:US
Mailing Address - Phone:361-661-0705
Mailing Address - Fax:361-661-0558
Practice Address - Street 1:1881 S REYNOLDS
Practice Address - Street 2:
Practice Address - City:ALICE
Practice Address - State:TX
Practice Address - Zip Code:78332
Practice Address - Country:US
Practice Address - Phone:361-661-0705
Practice Address - Fax:361-661-0558
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-27
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX116863261QA0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care