Provider Demographics
NPI:1578702049
Name:KAIRO'S ADULT DAY CARE LLC
Entity Type:Organization
Organization Name:KAIRO'S ADULT DAY CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:MRS
Authorized Official - First Name:RAQUEL
Authorized Official - Middle Name:
Authorized Official - Last Name:RODRIGUEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:956-566-5811
Mailing Address - Street 1:205 W VETERANS BLVD
Mailing Address - Street 2:
Mailing Address - City:PALMVIEW
Mailing Address - State:TX
Mailing Address - Zip Code:78572-8158
Mailing Address - Country:US
Mailing Address - Phone:956-424-0021
Mailing Address - Fax:956-271-0905
Practice Address - Street 1:205 W VETERANS BLVD
Practice Address - Street 2:
Practice Address - City:PALMVIEW
Practice Address - State:TX
Practice Address - Zip Code:78572-8158
Practice Address - Country:US
Practice Address - Phone:956-424-0021
Practice Address - Fax:956-271-0905
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-02-06
Last Update Date:2012-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX261QA0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care