Provider Demographics
NPI:1548592793
Name:HEAVENLY DAYS ADULT DAY CARE CENTER, INC
Entity Type:Organization
Organization Name:HEAVENLY DAYS ADULT DAY CARE CENTER, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:ALEX
Authorized Official - Middle Name:
Authorized Official - Last Name:GARCIA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:956-583-4004
Mailing Address - Street 1:2014 E BUSINESS HIGHWAY 83
Mailing Address - Street 2:STE B
Mailing Address - City:MISSION
Mailing Address - State:TX
Mailing Address - Zip Code:78572-9205
Mailing Address - Country:US
Mailing Address - Phone:956-583-4004
Mailing Address - Fax:956-581-2149
Practice Address - Street 1:2014 E BUSINESS HIGHWAY 83
Practice Address - Street 2:STE B
Practice Address - City:MISSION
Practice Address - State:TX
Practice Address - Zip Code:78572-9205
Practice Address - Country:US
Practice Address - Phone:956-583-4004
Practice Address - Fax:956-581-2149
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-02-12
Last Update Date:2010-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care