Healthcare Provider Details
I. General information
NPI: 1407044159
Provider Name (Legal Business Name): LAS MILPAS ADULT DAYCARE INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 10/09/2007
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date: 06/03/2008
Reactivation Date: 03/22/2010
III. Provider practice location address
6901 S CAGE BLVD STE A & B
PHARR TX
78572-8674
US
IV. Provider business mailing address
6901 S CAGE BLVD STE A & B
PHARR TX
78577-8674
US
V. Phone/Fax
- Phone: 956-781-1818
- Fax: 956-781-1818
- Phone: 956-781-1818
- Fax: 956-781-1818
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QA0600X |
| Taxonomy | Adult Day Care Clinic/Center |
| License Number | 16 |
| License Number State | TX |
VIII. Authorized Official
Name:
MARIA
C
VELA
Title or Position: ADMINISTRATOR/DIRECTOR
Credential:
Phone: 956-781-1818