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General NPI Number Information
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NPI Number | 1851461495
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Entity Type | Organization
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Legal Business Name | ANGELITOS ADULT DAR CARE CENTER,INC.
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Dates
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Enumeration Date | 11/09/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 704 E GRIFFIN PKWY STE 100
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City | MISSION
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State | TX
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Zip | 78572-2922
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Country | US
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Telephone | 956-519-0885
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Fax | 956-519-0116
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Provider Business Mailing Address
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Address Line | 704 E GRIFFIN PKWY STE 100
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City | MISSION
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State | TX
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Zip | 78572-2922
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Country | US
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Telephone | 956-519-0885
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Fax | 956-519-0116
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Authorized Official
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Title or Position | OWNERADMINISTRATOR
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Name | FRANCES GARCIA
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Credential |
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Telephone | 956-519-0885
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 313M00000X
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Taxonomy Name | Nursing Facility/Intermediate Care Facility
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License Number | 115961
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License Number State | TX
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