Healthcare Provider Details

I. General information

NPI: 1578849113
Provider Name (Legal Business Name): A PIECE OF HEAVEN ADULT DAY CARE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/27/2011
Last Update Date: 02/26/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2200 W PALMA VISTA DR SUITE A
PALMVIEW TX
78572-1857
US

IV. Provider business mailing address

2200 W PALMA VISTA DR
PALMVIEW TX
78572-1857
US

V. Phone/Fax

Practice location:
  • Phone: 956-566-5811
  • Fax: 956-519-9881
Mailing address:
  • Phone: 956-566-5811
  • Fax: 956-519-9881

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: MRS. RAQUEL RODRIGUEZ
Title or Position: OWNER
Credential:
Phone: 956-566-5811