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General NPI Number Information
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NPI Number | 1366976706
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Entity Type | Organization
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Legal Business Name | FIVE STAR ADULT DAY CARE LLC
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Dates
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Enumeration Date | 04/12/2017
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Last Update Date | 07/30/2025
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Provider Practice Location Address
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Address Line | 211 SHOWERS RD
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City | PALMVIEW
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State | TX
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Zip | 78572-1909
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Country | US
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Telephone | 956-598-7185
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Fax | 956-598-7190
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Provider Business Mailing Address
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Address Line | 7803 WAGON TRAIL DR
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City | MISSION
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State | TX
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Zip | 78572-8093
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Country | US
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Telephone | 956-598-7185
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Fax | 956-598-7190
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Authorized Official
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Title or Position | MANAGING MEMBER
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Name | MS. LYDIA GARZA
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Credential |
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Telephone | 956-432-6008
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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 |
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License Number State |
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