Provider Demographics
NPI:1235288192
Name:VALLE FELIZ ADULT DAY CARE, INC.
Entity Type:Organization
Organization Name:VALLE FELIZ ADULT DAY CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:EFRAIN
Authorized Official - Middle Name:EDUARDO
Authorized Official - Last Name:GUTIERREZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:956-239-2691
Mailing Address - Street 1:1104 E KIKA DE LA GARZA ST
Mailing Address - Street 2:SUITE A
Mailing Address - City:MISSION
Mailing Address - State:TX
Mailing Address - Zip Code:78572-4256
Mailing Address - Country:US
Mailing Address - Phone:956-519-9713
Mailing Address - Fax:956-519-9783
Practice Address - Street 1:1104 E KIKA DE LA GARZA ST
Practice Address - Street 2:SUITE A
Practice Address - City:MISSION
Practice Address - State:TX
Practice Address - Zip Code:78572-4256
Practice Address - Country:US
Practice Address - Phone:956-519-9713
Practice Address - Fax:956-519-9783
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-09
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care