Provider Demographics
NPI:1619414356
Name:COSAS DEL AYER ADULT DAY CARE,LLC
Entity Type:Organization
Organization Name:COSAS DEL AYER ADULT DAY CARE,LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:CYNTHIA
Authorized Official - Middle Name:
Authorized Official - Last Name:PALOMO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:956-580-9705
Mailing Address - Street 1:818 W INTERSTATE HIGHWAY 2
Mailing Address - Street 2:
Mailing Address - City:MISSION
Mailing Address - State:TX
Mailing Address - Zip Code:78572-6184
Mailing Address - Country:US
Mailing Address - Phone:956-208-0623
Mailing Address - Fax:956-519-4209
Practice Address - Street 1:818 W INTERSTATE HIGHWAY 2
Practice Address - Street 2:
Practice Address - City:MISSION
Practice Address - State:TX
Practice Address - Zip Code:78572-6184
Practice Address - Country:US
Practice Address - Phone:956-208-0623
Practice Address - Fax:956-519-4209
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-01-19
Last Update Date:2019-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX=========Medicaid