Provider Demographics
NPI:1790976702
Name:CANCINO CORPORATION
Entity Type:Organization
Organization Name:CANCINO CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:ADRIAN
Authorized Official - Middle Name:
Authorized Official - Last Name:CANCINO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:956-504-0538
Mailing Address - Street 1:36 S CORIA ST
Mailing Address - Street 2:
Mailing Address - City:BROWNSVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:78520-7508
Mailing Address - Country:US
Mailing Address - Phone:956-504-0538
Mailing Address - Fax:956-504-3230
Practice Address - Street 1:36 S CORIA ST
Practice Address - Street 2:
Practice Address - City:BROWNSVILLE
Practice Address - State:TX
Practice Address - Zip Code:78520-7508
Practice Address - Country:US
Practice Address - Phone:956-504-0538
Practice Address - Fax:956-504-3230
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-05
Last Update Date:2007-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX251C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services