Provider Demographics
NPI:1235378720
Name:VALLE DE PALMAS ADULT DAY CARE CENTER'S LLC
Entity Type:Organization
Organization Name:VALLE DE PALMAS ADULT DAY CARE CENTER'S LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:ELMA
Authorized Official - Middle Name:CARMINA
Authorized Official - Last Name:LOZANO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:956-789-9219
Mailing Address - Street 1:223 S CAGE BLVD
Mailing Address - Street 2:
Mailing Address - City:PHARR
Mailing Address - State:TX
Mailing Address - Zip Code:78577-4824
Mailing Address - Country:US
Mailing Address - Phone:956-787-8225
Mailing Address - Fax:956-702-3417
Practice Address - Street 1:223 S CAGE BLVD
Practice Address - Street 2:
Practice Address - City:PHARR
Practice Address - State:TX
Practice Address - Zip Code:78577-4824
Practice Address - Country:US
Practice Address - Phone:956-536-6617
Practice Address - Fax:956-283-9238
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-02-06
Last Update Date:2020-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX261QA0600X
261QA0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care