Provider Demographics
NPI:1457641193
Name:CORAZON MORADO LLC
Entity Type:Organization
Organization Name:CORAZON MORADO LLC
Other - Org Name:CORAZON MORADO ADULT DAY CARE LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:CLAUDIA
Authorized Official - Middle Name:
Authorized Official - Last Name:CANTU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:956-447-1910
Mailing Address - Street 1:1125 JAMES ST
Mailing Address - Street 2:SUITE E
Mailing Address - City:WESLACO
Mailing Address - State:TX
Mailing Address - Zip Code:78596-4211
Mailing Address - Country:US
Mailing Address - Phone:956-447-1910
Mailing Address - Fax:956-447-1917
Practice Address - Street 1:1125 JAMES ST
Practice Address - Street 2:SUITE E
Practice Address - City:WESLACO
Practice Address - State:TX
Practice Address - Zip Code:78596-4211
Practice Address - Country:US
Practice Address - Phone:956-447-1910
Practice Address - Fax:956-447-1917
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-04-14
Last Update Date:2011-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes311ZA0620XNursing & Custodial Care FacilitiesCustodial Care FacilityAdult Care Home