Provider Demographics
NPI:1851461495
Name:ANGELITOS ADULT DAR CARE CENTER,INC.
Entity Type:Organization
Organization Name:ANGELITOS ADULT DAR CARE CENTER,INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNERADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:FRANCES
Authorized Official - Middle Name:
Authorized Official - Last Name:GARCIA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:956-519-0885
Mailing Address - Street 1:704 E GRIFFIN PKWY STE 100
Mailing Address - Street 2:
Mailing Address - City:MISSION
Mailing Address - State:TX
Mailing Address - Zip Code:78572-2922
Mailing Address - Country:US
Mailing Address - Phone:956-519-0885
Mailing Address - Fax:956-519-0116
Practice Address - Street 1:704 E GRIFFIN PKWY STE 100
Practice Address - Street 2:
Practice Address - City:MISSION
Practice Address - State:TX
Practice Address - Zip Code:78572-2922
Practice Address - Country:US
Practice Address - Phone:956-519-0885
Practice Address - Fax:956-519-0116
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-09
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX115961313M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes313M00000XNursing & Custodial Care FacilitiesNursing Facility/Intermediate Care Facility