Provider Demographics
NPI:1790974525
Name:DEL VALLE LAS MANITAS, INC.
Entity Type:Organization
Organization Name:DEL VALLE LAS MANITAS, INC.
Other - Org Name:MANA'S INC.
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:NORA
Authorized Official - Middle Name:GARCIA
Authorized Official - Last Name:DE LEON
Authorized Official - Suffix:
Authorized Official - Credentials:JD
Authorized Official - Phone:956-782-9009
Mailing Address - Street 1:5510 N CAGE BLVD
Mailing Address - Street 2:SUITE 'N'
Mailing Address - City:PHARR
Mailing Address - State:TX
Mailing Address - Zip Code:78577-1812
Mailing Address - Country:US
Mailing Address - Phone:956-782-9009
Mailing Address - Fax:956-782-9809
Practice Address - Street 1:5510 N CAGE BLVD
Practice Address - Street 2:SUITE 'N'
Practice Address - City:PHARR
Practice Address - State:TX
Practice Address - Zip Code:78577-1812
Practice Address - Country:US
Practice Address - Phone:956-782-9009
Practice Address - Fax:956-782-9809
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-17
Last Update Date:2008-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1012668261QA0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care