Provider Demographics
NPI:1134820921
Name:ALICIA Y AMIGOS
Entity type:Organization
Organization Name:ALICIA Y AMIGOS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SERVICE COORDINATOR
Authorized Official - Prefix:
Authorized Official - First Name:GINA
Authorized Official - Middle Name:LLUVICELA
Authorized Official - Last Name:ESCAMILLA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:214-709-2533
Mailing Address - Street 1:305 MORNINGSTAR DR
Mailing Address - Street 2:
Mailing Address - City:HUTCHINS
Mailing Address - State:TX
Mailing Address - Zip Code:75141-3213
Mailing Address - Country:US
Mailing Address - Phone:214-709-2533
Mailing Address - Fax:
Practice Address - Street 1:305 MORNINGSTAR DR
Practice Address - Street 2:
Practice Address - City:HUTCHINS
Practice Address - State:TX
Practice Address - Zip Code:75141-3213
Practice Address - Country:US
Practice Address - Phone:214-709-2533
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-17
Last Update Date:2023-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management
No261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care
No261QD1600XAmbulatory Health Care FacilitiesClinic/CenterDevelopmental Disabilities