Canutillo Adult Day Care

NPI #1407227473 in Canutillo, Texas

Provider Information

NPI Number: 1407227473
Entity Type: Organization
Organization Name: Canutillo Adult Day Care
Subpart: Yes (part of a larger organization)
Parent Organization: LCE CORRAL LLC
Primary Specialty: Point of Service
Enumeration Date: Oct 15, 2015
Last Updated: Oct 15, 2015

Practice Location

Address: 6845 DONIPHAN DR STE B
City: Canutillo
State: Texas
ZIP Code: 79835-5048
Phone: (915) 222-5635

Authorized Official

Name: LORENA CORRAL, MANAGER
Title: MANAGER
Phone: (915) 222-5635

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Point of Service	305S00000X	Primary

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