Provider Demographics
NPI:1679761985
Name:MI GENERACION ADULT DAY CARE INC.
Entity Type:Organization
Organization Name:MI GENERACION ADULT DAY CARE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:CECILIA
Authorized Official - Middle Name:Y
Authorized Official - Last Name:CHAPA
Authorized Official - Suffix:
Authorized Official - Credentials:ADMINISTRATOR
Authorized Official - Phone:956-573-4471
Mailing Address - Street 1:P.O. BOX 623
Mailing Address - Street 2:
Mailing Address - City:SULLIVAN CITY
Mailing Address - State:TX
Mailing Address - Zip Code:78595
Mailing Address - Country:US
Mailing Address - Phone:956-573-4471
Mailing Address - Fax:956-686-7577
Practice Address - Street 1:1603 W. EXPRESSWAY 83 / GUADALUPE FLORES ROAD.
Practice Address - Street 2:
Practice Address - City:SULLIVAN CITY
Practice Address - State:TX
Practice Address - Zip Code:78595
Practice Address - Country:US
Practice Address - Phone:956-573-4471
Practice Address - Fax:956-686-7577
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-11
Last Update Date:2018-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services