Healthcare Provider Details

I. General information

NPI: 1134445844
Provider Name (Legal Business Name): PERLA FLOR GUZMAN D/B/A PARAISO DE ANGELES ADULT DAY CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/20/2010
Last Update Date: 04/20/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2804 N MCCOLL RD
EDINBURG TX
78541-9475
US

IV. Provider business mailing address

2804 N MCCOLL RD
EDINBURG TX
78541-9475
US

V. Phone/Fax

Practice location:
  • Phone: 956-386-1857
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number129297
License Number StateTX

VIII. Authorized Official

Name: MS. PERLA FLOR GUZMAN
Title or Position: OWNER
Credential:
Phone: 956-386-1857