Provider Demographics
NPI:1174856413
Name:DAY STAY FOR ADULTS, INC.
Entity Type:Organization
Organization Name:DAY STAY FOR ADULTS, INC.
Other - Org Name:ADULT DAY STAY- LEWISVILLE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:ANDRE
Authorized Official - Middle Name:FRANCOIS
Authorized Official - Last Name:VILLARREAL
Authorized Official - Suffix:
Authorized Official - Credentials:RN, MS
Authorized Official - Phone:940-383-8371
Mailing Address - Street 1:4845 S I-35 E STE 100
Mailing Address - Street 2:
Mailing Address - City:CORINTH
Mailing Address - State:TX
Mailing Address - Zip Code:76210-2303
Mailing Address - Country:US
Mailing Address - Phone:940-383-8371
Mailing Address - Fax:940-269-4243
Practice Address - Street 1:1960 ARCHER AVE
Practice Address - Street 2:
Practice Address - City:LEWISVILLE
Practice Address - State:TX
Practice Address - Zip Code:75077-7602
Practice Address - Country:US
Practice Address - Phone:940-383-8371
Practice Address - Fax:940-269-4243
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:DAY STAY FOR ADULTS, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2009-09-17
Last Update Date:2009-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care