Provider Demographics
NPI:1750513610
Name:UNA NUEVA ESPERANZA ADULT DAY CARE INC
Entity type:Organization
Organization Name:UNA NUEVA ESPERANZA ADULT DAY CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/ OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:ESPERANZA
Authorized Official - Middle Name:
Authorized Official - Last Name:PENA
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:956-655-0945
Mailing Address - Street 1:320 TOM GILL RD
Mailing Address - Street 2:
Mailing Address - City:PENITAS
Mailing Address - State:TX
Mailing Address - Zip Code:78576-8464
Mailing Address - Country:US
Mailing Address - Phone:956-655-0945
Mailing Address - Fax:956-424-3772
Practice Address - Street 1:109 W ESPERANZA AVE
Practice Address - Street 2:
Practice Address - City:MISSION
Practice Address - State:TX
Practice Address - Zip Code:78574-5841
Practice Address - Country:US
Practice Address - Phone:956-655-0945
Practice Address - Fax:956-424-3772
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-08-11
Last Update Date:2009-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX261QA0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care