MEDICARE: UN DIA A LA VEZ ADULT DAY CARE CENTER 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
1	311Z00000X	Custodial Care Facility		TX

General Provider Information

NPI Number	:	1992912984
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	UN DIA A LA VEZ ADULT DAY CARE CENTER INC

Provider Business Mailing Address
First Line	:	8463 E STATE HIGHWAY 107 STE C
Second Line	:
City	:	EDINBURG
State	:	TX
Zip	:	78539-1705
Country	:	US
Telephone Number	:	956-292-0054
Fax Number	:

Provider Business Practice Location Address
First Line	:	8463 E STATE HIGHWAY 107 STE C
Second Line	:
City	:	EDINBURG
State	:	TX
Zip	:	78539-1705
Country	:	US
Telephone Number	:	956-292-0054
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DELIA T MENDEZ
Credential	:
Telephone Number	:	956-292-0054

Provider Enumeration Date	:	05/17/2007
Last Update Date	:	08/22/2020

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