Healthcare Provider Details

I. General information

NPI: 1467535401
Provider Name (Legal Business Name): NUESTRA FAMILIA FELIZ ADULT DAYCARE CENTER INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/23/2006
Last Update Date: 05/20/2020
Certification Date: 05/20/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

801 S FLAG ST
PHARR TX
78577-4426
US

IV. Provider business mailing address

801 S FLAG ST
PHARR TX
78577-4426
US

V. Phone/Fax

Practice location:
  • Phone: 956-702-3333
  • Fax: 956-702-2812
Mailing address:
  • Phone: 956-702-3333
  • Fax: 956-702-2812

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number117063
License Number StateTX

VIII. Authorized Official

Name: MS. ALMA N GRIMALDO
Title or Position: DIRECTOR
Credential: RN
Phone: 956-702-3333