Provider Demographics
NPI:1396106555
Name:ALEXANDER ADULT HEALTH CENTER
Entity type:Organization
Organization Name:ALEXANDER ADULT HEALTH CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:GRACIE
Authorized Official - Middle Name:
Authorized Official - Last Name:GARCIA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:361-275-3111
Mailing Address - Street 1:111 E ALEXANDER ST
Mailing Address - Street 2:
Mailing Address - City:CUERO
Mailing Address - State:TX
Mailing Address - Zip Code:77954-2457
Mailing Address - Country:US
Mailing Address - Phone:361-275-3111
Mailing Address - Fax:361-275-3112
Practice Address - Street 1:111 E ALEXANDER ST
Practice Address - Street 2:
Practice Address - City:CUERO
Practice Address - State:TX
Practice Address - Zip Code:77954-2457
Practice Address - Country:US
Practice Address - Phone:361-275-3111
Practice Address - Fax:361-275-3112
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-03-16
Last Update Date:2016-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care