Val-Rod Dba Club De Amistad

LBN: Val-Rod Dba Club De Amistad
Val-Rod Dba Club De Amistad is an health care organization with primary practice located at 109 Crocker Dr , Horizon City TX 79928-7153. 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. Val-Rod Dba Club De Amistad can be contacted via phone (915) 852-5006, or through Rodriguez, Amador via phone (915) 859-8671.

Contact Information

Primary practice address
109 Crocker Dr Horizon City TX 79928-7153
Phone: (915) 852-5006
Fax: (915) 852-2792
Website:
Map and Directions
Authorized official contact:
Name: Rodriguez, Amador
Phone: (915) 859-8671

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Adult Day Care 261QA0600X 102237 Texas
Ambulatory Health Care Facilities / Adult Day Care 261QA0600X

Profile Details

NPI number 1295894749
LBN Legal business name Val-Rod Dba Club De Amistad
DBA Doing business as
Authorized official Rodriguez, Amador
Entity Organization
Organization subpart 1 No
Enumeration date Dec 8th, 2006
Last updated Jun 25th, 2019 - about 5 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 1295894749 NPPES
Texas MEDICAID 146065672

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