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General NPI Number Information
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NPI Number | 1205004496
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Entity Type | Organization
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Legal Business Name | WILLOW SERVICES INC. DBA LAS FLORES ADULT DAY CARE
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Dates
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Enumeration Date | 02/11/2008
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Last Update Date | 07/21/2023
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Provider Practice Location Address
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Address Line | 2502 E TRAVIS
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City | LAREDO
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State | TX
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Zip | 78046
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Country | US
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Telephone | 956-718-2810
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Fax | 956-718-2811
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Provider Business Mailing Address
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Address Line | 2502 E. TRAVIS
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City | LAREDO
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State | TX
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Zip | 78043
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Country | US
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Telephone | 956-718-2810
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Fax | 956-718-2811
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Authorized Official
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Title or Position | OWNER
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Name | ZULEMA GARZA
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Credential |
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Telephone | 956-718-2810
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA0600X
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Taxonomy Name | Adult Day Care Clinic/Center
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License Number | 121932
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License Number State | TX
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