Provider Demographics
NPI:1497192041
Name:HANNAH A GUILLEN
Entity Type:Organization
Organization Name:HANNAH A GUILLEN
Other - Org Name:ALEGRE ENCUENTRO ADC #3
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:HANNAH
Authorized Official - Middle Name:A
Authorized Official - Last Name:GUILLEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:956-792-8741
Mailing Address - Street 1:813 N ED CAREY DR
Mailing Address - Street 2:
Mailing Address - City:HARLINGEN
Mailing Address - State:TX
Mailing Address - Zip Code:78550-7919
Mailing Address - Country:US
Mailing Address - Phone:956-752-3716
Mailing Address - Fax:956-421-5970
Practice Address - Street 1:588 W HARRIS AVE
Practice Address - Street 2:
Practice Address - City:RAYMONDVILLE
Practice Address - State:TX
Practice Address - Zip Code:78580-2439
Practice Address - Country:US
Practice Address - Phone:956-689-2645
Practice Address - Fax:956-689-3538
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-05-22
Last Update Date:2013-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX136439261QA0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care