Provider Demographics
NPI:1982758629
Name:JEAN SALINAS LAS VIOLETAS SENIOR RESIDENCE
Entity type:Organization
Organization Name:JEAN SALINAS LAS VIOLETAS SENIOR RESIDENCE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:JEAN
Authorized Official - Middle Name:
Authorized Official - Last Name:SALINAS
Authorized Official - Suffix:
Authorized Official - Credentials:REGISTERED NURSE
Authorized Official - Phone:956-722-6886
Mailing Address - Street 1:2020 DURANGO AVE
Mailing Address - Street 2:
Mailing Address - City:LAREDO
Mailing Address - State:TX
Mailing Address - Zip Code:78046-8719
Mailing Address - Country:US
Mailing Address - Phone:956-722-6886
Mailing Address - Fax:956-791-8005
Practice Address - Street 1:2020 DURANGO AVE
Practice Address - Street 2:
Practice Address - City:LAREDO
Practice Address - State:TX
Practice Address - Zip Code:78046-8719
Practice Address - Country:US
Practice Address - Phone:956-722-6886
Practice Address - Fax:956-791-8005
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-22
Last Update Date:2008-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX030173310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility