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General NPI Number Information
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NPI Number | 1992912984
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Entity Type | Organization
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Legal Business Name | UN DIA A LA VEZ ADULT DAY CARE CENTER INC
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Dates
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Enumeration Date | 05/17/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 8463 E STATE HIGHWAY 107 STE C
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City | EDINBURG
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State | TX
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Zip | 78539-1705
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Country | US
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Telephone | 956-292-0054
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Fax |
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Provider Business Mailing Address
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Address Line | 8463 E STATE HIGHWAY 107 STE C
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City | EDINBURG
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State | TX
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Zip | 78539-1705
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Country | US
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Telephone | 956-292-0054
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DELIA T MENDEZ
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Credential |
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Telephone | 956-292-0054
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 311Z00000X
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Taxonomy Name | Custodial Care Facility
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License Number |
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License Number State | TX
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