Provider Demographics
NPI:1891079505
Name:KORAZONCITO DE MI AMOR ADULT DAY CARE CENTER INC.
Entity Type:Organization
Organization Name:KORAZONCITO DE MI AMOR ADULT DAY CARE CENTER INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:ADRIANA
Authorized Official - Middle Name:
Authorized Official - Last Name:VELEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:956-639-1775
Mailing Address - Street 1:292 KINGS HWY STE 4-7
Mailing Address - Street 2:1945 E. HARRISON STREET
Mailing Address - City:BROWNSVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:78521-4265
Mailing Address - Country:US
Mailing Address - Phone:956-542-2035
Mailing Address - Fax:956-542-2036
Practice Address - Street 1:292 KINGS HWY STE 4-7
Practice Address - Street 2:292 KINGS HWY STE 6
Practice Address - City:BROWNSVILLE
Practice Address - State:TX
Practice Address - Zip Code:78521-4265
Practice Address - Country:US
Practice Address - Phone:956-542-2035
Practice Address - Fax:956-542-2036
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-09-30
Last Update Date:2011-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX132735261QA0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care