Provider Demographics
NPI:1609916758
Name:FELIPITA BASTIDA
Entity Type:Organization
Organization Name:FELIPITA BASTIDA
Other - Org Name:LA AMISTAD ADULT CARE & ACTIVITY CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:FELIPITA
Authorized Official - Middle Name:
Authorized Official - Last Name:BASTIDA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:361-358-1650
Mailing Address - Street 1:403 N MONROE ST
Mailing Address - Street 2:
Mailing Address - City:BEEVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:78102-4433
Mailing Address - Country:US
Mailing Address - Phone:361-358-1650
Mailing Address - Fax:361-358-8058
Practice Address - Street 1:403 N MONROE ST
Practice Address - Street 2:
Practice Address - City:BEEVILLE
Practice Address - State:TX
Practice Address - Zip Code:78102-4433
Practice Address - Country:US
Practice Address - Phone:361-358-1650
Practice Address - Fax:361-358-8058
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-07
Last Update Date:2024-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX119903261QA0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care