Provider Demographics
NPI:1114203650
Name:ESTAMOS UNIDOS ADULT DAY CARE, LLC
Entity Type:Organization
Organization Name:ESTAMOS UNIDOS ADULT DAY CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:NORMA
Authorized Official - Middle Name:
Authorized Official - Last Name:LANDEROS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:956-802-6165
Mailing Address - Street 1:PO BOX 52
Mailing Address - Street 2:
Mailing Address - City:SAN JUAN
Mailing Address - State:TX
Mailing Address - Zip Code:78589-0052
Mailing Address - Country:US
Mailing Address - Phone:956-802-6165
Mailing Address - Fax:956-781-3238
Practice Address - Street 1:2109 N RAUL LONGORIA RD
Practice Address - Street 2:
Practice Address - City:SAN JUAN
Practice Address - State:TX
Practice Address - Zip Code:78589-3429
Practice Address - Country:US
Practice Address - Phone:956-781-2600
Practice Address - Fax:956-781-3238
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-10-28
Last Update Date:2011-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care