Provider Demographics
NPI:1235267105
Name:LAREDO ADULT DAY CARE, INC.
Entity Type:Organization
Organization Name:LAREDO ADULT DAY CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:DUANE
Authorized Official - Middle Name:EMELLE
Authorized Official - Last Name:STARKEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-805-0777
Mailing Address - Street 1:25707 SERENE SPRING LN
Mailing Address - Street 2:
Mailing Address - City:SPRING
Mailing Address - State:TX
Mailing Address - Zip Code:77373-8465
Mailing Address - Country:US
Mailing Address - Phone:713-805-0777
Mailing Address - Fax:281-907-0810
Practice Address - Street 1:25707 SERENE SPRING LN
Practice Address - Street 2:
Practice Address - City:SPRING
Practice Address - State:TX
Practice Address - Zip Code:77373-8465
Practice Address - Country:US
Practice Address - Phone:713-805-0777
Practice Address - Fax:281-907-0810
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-01
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX261QA0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care