Memory Lane Adult Daycare INC

NPI #1396059226 in Pharr, Texas

Provider Information

NPI Number
1396059226
Entity Type
Organization
Organization Name
Memory Lane Adult Daycare INC
Primary Specialty
Day Training, Developmentally Disabled Services
Enumeration Date
Aug 3, 2010
Last Updated
Aug 3, 2010

Practice Location

Address
5820 N CAGE BLVD
Address 2
SUITE 29
City
Pharr
State
Texas
ZIP Code
78577-7825
Phone
(956) 463-7545

Authorized Official

Name
MR. ARMANDO CABALLERO, LVN
Title
DIRECTOR
Phone
(956) 463-7545

Specialties & Taxonomy Codes

Specialty
Day Training, Developmentally Disabled Services

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