Provider Demographics
NPI:1558068577
Name:FAITH HOPE LOVE ADULT DAYCARE LLC
Entity Type:Organization
Organization Name:FAITH HOPE LOVE ADULT DAYCARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DAYCARE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:JUANA
Authorized Official - Middle Name:PATRICIA
Authorized Official - Last Name:IBARRA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:956-855-4735
Mailing Address - Street 1:3201 S EXPRESSWAY 83 UNIT B
Mailing Address - Street 2:
Mailing Address - City:HARLINGEN
Mailing Address - State:TX
Mailing Address - Zip Code:78550-7678
Mailing Address - Country:US
Mailing Address - Phone:956-230-1611
Mailing Address - Fax:
Practice Address - Street 1:3201 S EXPRESSWAY 83 UNIT B
Practice Address - Street 2:
Practice Address - City:HARLINGEN
Practice Address - State:TX
Practice Address - Zip Code:78550-7678
Practice Address - Country:US
Practice Address - Phone:956-230-1611
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-02-09
Last Update Date:2023-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care