Provider Demographics
NPI:1942440342
Name:MIS MEJORES ANOS ADULT DAY CARE
Entity Type:Organization
Organization Name:MIS MEJORES ANOS ADULT DAY CARE
Other - Org Name:MIS MEJORES ANOS ADULT DAY CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ARMANDINA
Authorized Official - Middle Name:
Authorized Official - Last Name:GARZA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:956-485-9443
Mailing Address - Street 1:7 ELVIA ZARATE ST
Mailing Address - Street 2:
Mailing Address - City:RIO GRANDE CITY
Mailing Address - State:TX
Mailing Address - Zip Code:78582-6114
Mailing Address - Country:US
Mailing Address - Phone:956-485-9443
Mailing Address - Fax:888-613-6531
Practice Address - Street 1:7 ELVIA ZARATE ST
Practice Address - Street 2:
Practice Address - City:RIO GRANDE CITY
Practice Address - State:TX
Practice Address - Zip Code:78582-6114
Practice Address - Country:US
Practice Address - Phone:956-485-9443
Practice Address - Fax:888-613-6531
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-02-24
Last Update Date:2021-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX125846261QA0600X
261QA0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1942440342Medicaid