Healthcare Provider Details

I. General information

NPI: 1700948593
Provider Name (Legal Business Name): PARKVIEW ADULT HEALTH CARE AND ACTIVITY CENTER, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/15/2006
Last Update Date: 04/22/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

501 E BOWIE ST
BEEVILLE TX
78102-4918
US

IV. Provider business mailing address

501 E BOWIE ST
BEEVILLE TX
78102-4918
US

V. Phone/Fax

Practice location:
  • Phone: 361-358-5559
  • Fax: 361-358-6163
Mailing address:
  • Phone: 361-358-5559
  • Fax: 361-358-6163

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number116501
License Number StateTX

VIII. Authorized Official

Name: MR. LARRY DEAN WREN
Title or Position: PRESIDENT
Credential:
Phone: 361-358-5559