Provider Demographics
NPI:1104193085
Name:BIENVENIDOS ADULT DAY CARE INC
Entity Type:Organization
Organization Name:BIENVENIDOS ADULT DAY CARE INC
Other - Org Name:BIENVENIDOS ADULT DAY CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:YOLINDA
Authorized Official - Middle Name:
Authorized Official - Last Name:TREVINO
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:1956-874-4620
Mailing Address - Street 1:2408 N US HWY 83
Mailing Address - Street 2:
Mailing Address - City:ZAPATA
Mailing Address - State:TX
Mailing Address - Zip Code:78076
Mailing Address - Country:US
Mailing Address - Phone:195-687-4462
Mailing Address - Fax:195-658-3462
Practice Address - Street 1:2408 N US HWY 83
Practice Address - Street 2:
Practice Address - City:ZAPATA
Practice Address - State:TX
Practice Address - Zip Code:78076
Practice Address - Country:US
Practice Address - Phone:195-687-4462
Practice Address - Fax:195-658-3462
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-11-21
Last Update Date:2011-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX261QA0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care