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General NPI Number Information
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NPI Number | 1235288192
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Entity Type | Organization
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Legal Business Name | VALLE FELIZ ADULT DAY CARE, INC.
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Dates
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Enumeration Date | 01/09/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1104 E KIKA DE LA GARZA ST SUITE A
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City | MISSION
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State | TX
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Zip | 78572-4256
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Country | US
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Telephone | 956-519-9713
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Fax | 956-519-9783
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Provider Business Mailing Address
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Address Line | 1104 E KIKA DE LA GARZA ST SUITE A
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City | MISSION
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State | TX
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Zip | 78572-4256
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Country | US
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Telephone | 956-519-9713
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Fax | 956-519-9783
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Authorized Official
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Title or Position | DIRECTOR
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Name | MR. EFRAIN EDUARDO GUTIERREZ
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Credential |
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Telephone | 956-239-2691
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number |
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License Number State |
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