NPI | 1750983375 |
---|---|
Former Legal Business Name | CLUB DE ACTIVIDADES SU CASA |
Entity Type | Organization |
Authorized Contact | AIDA VARGAS Owner 915-256-9191 |
Organization Subpart ? | No |
Primary Taxonomy | 261QA0600X Clinic/Center, Adult Day Care |
Enumeration Date | 2020-11-09 |
Last Update Date | 2023-02-24 |