NPI | 1629352075 |
---|---|
Doing Business As | LA EPOCA DE ORO |
Entity Type | Organization |
Authorized Contact | MARIA LUISA PENA Chief Executive Officer 956-722-5468 |
Organization Subpart ? | No |
Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home |
Enumeration Date | 2011-10-04 |
Last Update Date | 2011-10-04 |