Provider Demographics
NPI:1619180874
Name:ESTRELLITAS ADULT DAY CARE LLC
Entity type:Organization
Organization Name:ESTRELLITAS ADULT DAY CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGMENT MEMBER
Authorized Official - Prefix:MR
Authorized Official - First Name:FRANK
Authorized Official - Middle Name:
Authorized Official - Last Name:CHMIELOWSKI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:956-380-6953
Mailing Address - Street 1:9701 N 10TH ST
Mailing Address - Street 2:
Mailing Address - City:MCALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:78504-9553
Mailing Address - Country:US
Mailing Address - Phone:956-380-6953
Mailing Address - Fax:956-287-7988
Practice Address - Street 1:9701 N 10TH ST
Practice Address - Street 2:
Practice Address - City:MCALLEN
Practice Address - State:TX
Practice Address - Zip Code:78504-9553
Practice Address - Country:US
Practice Address - Phone:956-380-6953
Practice Address - Fax:956-287-7988
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-07
Last Update Date:2008-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX120063261QA0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care