| NPI | 1063720399 | 
|---|---|
| Doing Business As | DE VINO | 
| Entity Type | Organization | 
| Authorized Contact | ROSA I TORRES CEO 915-594-7994  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 261QA0600X Clinic/Center, Adult Day Care | 
| Enumeration Date | 2010-09-21 | 
| Last Update Date | 2010-09-21 |