Fuente De Juventud, Inc.

LBN: Fuente De Juventud, Inc.
Fuente De Juventud, Inc. is an health care organization with primary practice located at 2008 Redskin Ave Ste A , Donna TX 78537-3299. The organization recently has only one registered license in Ambulatory Health Care Facilities / Adult Day Care, which is considered as the primary health care specialty. Fuente De Juventud, Inc. can be contacted via phone (956) 377-5158, or through Gallegos, Sonia via phone (956) 702-3323.

Contact Information

Primary practice address
2008 Redskin Ave Ste A Donna TX 78537-3299
Phone: (956) 377-5158
Fax: (956) 377-5204
Website:
Map and Directions
Authorized official contact:
Name: Gallegos, Sonia MPH
Phone: (956) 702-3323

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Adult Day Care 261QA0600X

Profile Details

NPI number 1306583117
LBN Legal business name Fuente De Juventud, Inc.
DBA Doing business as
Authorized official Gallegos, Sonia MPH
Entity Organization
Organization subpart 1 No
Enumeration date May 14th, 2022
Last updated May 14th, 2022 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1306583117 NPPES
Texas MEDICAID 8007326201

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