Provider Demographics
NPI:1093099764
Name:PBJ ENTERPRISES LLC
Entity Type:Organization
Organization Name:PBJ ENTERPRISES LLC
Other - Org Name:DULCE CARICIAS ADULT DAY CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MEMBER-MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:YANETH
Authorized Official - Middle Name:
Authorized Official - Last Name:SALINAS FLORES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:956-513-1022
Mailing Address - Street 1:1212 S RAUL LONGORIA RD
Mailing Address - Street 2:
Mailing Address - City:EDINBURG
Mailing Address - State:TX
Mailing Address - Zip Code:78542-6466
Mailing Address - Country:US
Mailing Address - Phone:956-513-1022
Mailing Address - Fax:956-513-1031
Practice Address - Street 1:1212 S RAUL LONGORIA RD
Practice Address - Street 2:
Practice Address - City:EDINBURG
Practice Address - State:TX
Practice Address - Zip Code:78542-6466
Practice Address - Country:US
Practice Address - Phone:956-513-1022
Practice Address - Fax:956-513-1031
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-09-29
Last Update Date:2023-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX103169261QA0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care