Provider Demographics
NPI:1962604009
Name:JOY AND PRIDE ADULT DAYCARE CENTER, INC.
Entity type:Organization
Organization Name:JOY AND PRIDE ADULT DAYCARE CENTER, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:GABRIELA
Authorized Official - Middle Name:
Authorized Official - Last Name:AGUILLON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:956-386-1430
Mailing Address - Street 1:304 E. CANO
Mailing Address - Street 2:
Mailing Address - City:EDINBURG
Mailing Address - State:TX
Mailing Address - Zip Code:78539
Mailing Address - Country:US
Mailing Address - Phone:956-386-1430
Mailing Address - Fax:956-386-0330
Practice Address - Street 1:304 E. CANO ST.
Practice Address - Street 2:
Practice Address - City:EDINBURG
Practice Address - State:TX
Practice Address - Zip Code:78539-4512
Practice Address - Country:US
Practice Address - Phone:956-386-1430
Practice Address - Fax:956-386-0330
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-01
Last Update Date:2024-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX001013784261QA0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX001013784OtherTEXAS PROVIDER NO.