Healthcare Provider Details

I. General information

NPI: 1982819512
Provider Name (Legal Business Name): PARADISE ADULT DAY CARE CENTER INC II
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/14/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

503 W BUSINESS HIGHWAY 83
DONNA TX
78537-9494
US

IV. Provider business mailing address

503 W BUSINESS HIGHWAY 83
DONNA TX
78537-9494
US

V. Phone/Fax

Practice location:
  • Phone: 956-461-3070
  • Fax:
Mailing address:
  • Phone: 956-461-3070
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number119715
License Number StateTX

VIII. Authorized Official

Name: MS. ARMANDO SOLIS JR.
Title or Position: OWNER
Credential: RN
Phone: 956-461-3070