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General NPI Number Information
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NPI Number | 1922301399
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Entity Type | Organization
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Legal Business Name | ANGEL MIO ADULT DAY CARE LLC
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Dates
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Enumeration Date | 12/07/2010
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Last Update Date | 07/24/2026
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Provider Practice Location Address
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Address Line | 1619 NORTH LA HOMA RD.
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City | PALMVIEW
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State | TX
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Zip | 78574
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Country | US
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Telephone | 956-585-7500
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Fax | 945-583-2598
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Provider Business Mailing Address
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Address Line | 1619 NORTH LA HOMA RD.
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City | PALMVIEW
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State | TX
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Zip | 78574
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Country | US
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Telephone | 956-585-7500
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Fax | 945-583-2598
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Authorized Official
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Title or Position | OWNER
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Name | MS. MARTHA BERMEJO
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Credential |
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Telephone | 956-585-7500
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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 | 130825
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License Number State | TX
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