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NPI Code Detail

MEDICARE: MY SWEET HOME ADULT DAY CARE, INC.

MEDICARE: MY SWEET HOME ADULT DAY CARE, INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QA0600XAdult Day Care Clinic/CenterTX

General Provider Information

NPI Number : 1568793735
Entity Type Code : Organization
Provider Name (Legal Business Name) : MY SWEET HOME ADULT DAY CARE, INC.
Provider Business Mailing Address
First Line : 1691 E SAN BENITO ST STE B
Second Line :
City : RIO GRANDE CITY
State : TX
Zip : 78582-3401
Country : US
Telephone Number : 956-488-1255
Fax Number : 956-487-7988
Provider Business Practice Location Address
First Line : 1691 E SAN BENITO ST STE B
Second Line :
City : RIO GRANDE CITY
State : TX
Zip : 78582-3401
Country : US
Telephone Number : 956-488-1255
Fax Number : 956-487-7988
Authorized Official
Title or Position : ADMINISTRATOR
Name : MR. ERNESTO GARCIA
Credential :
Telephone Number : 956-488-1255
Provider Enumeration Date : 01/27/2010
Last Update Date : 01/27/2010

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Directions to “MY SWEET HOME ADULT DAY CARE, INC. ” Practice Location

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