| NPI | 1306164850 |
|---|---|
| Doing Business As | GREGORIO REYES FOSTER HOME |
| Entity Type | Organization |
| Authorized Contact | GREGORIO N/A REYES Proprietor 915-493-7182 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA0600X Clinic/Center, Adult Day Care |
| Enumeration Date | 2010-05-07 |
| Last Update Date | 2010-05-07 |