MI PUEBLO ADULT DAY CARE INC. NPI 1669651865

NPI Information

NPI: 1669651865
Provider Name: MI PUEBLO ADULT DAY CARE INC.
Classification: Clinic/Center - 261QA0600X
Entity Type: Organization

Specialization: Adult Day Care

Address:
681 HORIZON BLVD
SUITE # E
SOCORRO, TX
ZIP 79927
Phone: (915) 860-8690
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MI PUEBLO ADULT DAY CARE INC. is an adult day care clinic center in Socorro, TX. MI PUEBLO ADULT DAY CARE INC. NPI is 1669651865. The provider is registered as an organization entity type.

The provider's business location address is:

681 HORIZON BLVD
SUITE # E
SOCORRO, TX
ZIP 79927-691
Phone: (915) 860-8690
Fax: (915) 860-7210

The provider's authorized official is Yolanda Rodriguez .
The authorized official title is Administrator and has the following contact phone number (915) 740-2782.

The enumeration date for this NPI number is 10/24/2007 and was last updated on 4/20/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QA0600X	Clinic/Center	Adult Day Care	121409	TEXAS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	=========	OTHER	TEXAS	EIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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