Ybarra, Adeli Bonita

Ybarra, Adeli Bonita is an sole proprietor health care provider with primary practice located at 2714 Old Dallas Rd , Waco TX 76705-1771. She recently has only one registered license in Ambulatory Health Care Facilities / Adult Day Care, which is considered as her primary health care specialty. Ybarra, Adeli Bonita can be contacted via phone (254) 799-1099.

Contact Information

Primary practice address
2714 Old Dallas Rd Waco TX 76705-1771
Fax: (254) 946-0900
Website:

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Adult Day Care 261QA0600X 111371 Texas

Profile Details

NPI number 1831388529
LBN Legal business name Ybarra, Adeli Bonita
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 17th, 2007
Last updated Oct 17th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1831388529 NPPES
Texas MEDICAID 001012112

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