Provider Demographics
NPI:1710390752
Name:ALLIANCE DAYCARE CENTER, INC
Entity Type:Organization
Organization Name:ALLIANCE DAYCARE CENTER, INC
Other - Org Name:N/A
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:DADIRI
Authorized Official - Middle Name:Y
Authorized Official - Last Name:JAMA
Authorized Official - Suffix:
Authorized Official - Credentials:N/A
Authorized Official - Phone:210-875-0229
Mailing Address - Street 1:9650 DATAPOINT DR STE 106
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78229-2060
Mailing Address - Country:US
Mailing Address - Phone:210-875-0229
Mailing Address - Fax:210-593-0434
Practice Address - Street 1:9650 DATAPOINT DR STE 106
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78229-2060
Practice Address - Country:US
Practice Address - Phone:210-875-0229
Practice Address - Fax:210-593-0434
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:N/A
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2014-06-06
Last Update Date:2014-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX251C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services