Provider Demographics
NPI:1992837504
Name:AMIGO ADULT DAY CARE, LC
Entity Type:Organization
Organization Name:AMIGO ADULT DAY CARE, LC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:MIGUEL
Authorized Official - Middle Name:
Authorized Official - Last Name:TORRES
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:956-220-1777
Mailing Address - Street 1:601 CONCORD HILLS BLVD
Mailing Address - Street 2:
Mailing Address - City:LAREDO
Mailing Address - State:TX
Mailing Address - Zip Code:78046-5162
Mailing Address - Country:US
Mailing Address - Phone:956-729-9877
Mailing Address - Fax:956-729-9678
Practice Address - Street 1:601 CONCORD HILLS BLVD
Practice Address - Street 2:
Practice Address - City:LAREDO
Practice Address - State:TX
Practice Address - Zip Code:78046-5162
Practice Address - Country:US
Practice Address - Phone:956-729-9877
Practice Address - Fax:956-729-9678
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-09
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care