Provider Demographics
NPI:1487064465
Name:EL RANCHO ADULT DAY CARE
Entity type:Organization
Organization Name:EL RANCHO ADULT DAY CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:GENERAL PARTNERSHIP
Authorized Official - Prefix:
Authorized Official - First Name:FLORINDA
Authorized Official - Middle Name:
Authorized Official - Last Name:GONZALEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:956-519-4809
Mailing Address - Street 1:1905 W 3 MILE RD.
Mailing Address - Street 2:STE. 1600
Mailing Address - City:MISSION
Mailing Address - State:TX
Mailing Address - Zip Code:78573
Mailing Address - Country:US
Mailing Address - Phone:956-519-4809
Mailing Address - Fax:956-519-4834
Practice Address - Street 1:1905 W 3 MILE RD.
Practice Address - Street 2:STE. 1600 & 1700
Practice Address - City:MISSION
Practice Address - State:TX
Practice Address - Zip Code:78573
Practice Address - Country:US
Practice Address - Phone:956-519-4809
Practice Address - Fax:956-519-4834
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-04-30
Last Update Date:2014-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX139837261QA0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care