Provider Demographics
NPI:1285972802
Name:ADULT DAY CARE HOLDINGS OF WESLACO INCORPORATED
Entity type:Organization
Organization Name:ADULT DAY CARE HOLDINGS OF WESLACO INCORPORATED
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BROOKS
Authorized Official - Middle Name:
Authorized Official - Last Name:RULE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:956-455-5566
Mailing Address - Street 1:5109 SUGAR MILL RD
Mailing Address - Street 2:
Mailing Address - City:BROWNSVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:78526-3801
Mailing Address - Country:US
Mailing Address - Phone:956-455-5566
Mailing Address - Fax:956-548-0003
Practice Address - Street 1:3101 E HARRISON AVE
Practice Address - Street 2:
Practice Address - City:HARLINGEN
Practice Address - State:TX
Practice Address - Zip Code:78550-2512
Practice Address - Country:US
Practice Address - Phone:956-423-1066
Practice Address - Fax:956-423-1075
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-01-17
Last Update Date:2015-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care