Fuente de Juventud, Inc.
Organization Active NPI Adult Day Care Clinic/Center · Donna, TX
NPI 1306583117 · NPPES record last updated May 14, 2022
Key facts
- NPI
- 1306583117
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Adult Day Care Clinic/Center 261QA0600X
- Legal business name
- FUENTE DE JUVENTUD, INC.
- Practice address
- 2008 Redskin Ave Ste a
Donna, TX 78537-3299 - Phone
- (956) 377-5158
- Fax
- (956) 377-5204
- NPI assigned
- May 14, 2022
- Organization subpart
- No
Authorized official
- Name
- Sonia Gallegos, MPH
- Title
- Administrator
- Phone
- (956) 702-3323
Corporate family (same tax ID) 1
National Provider Directory
- Tax ID family
- Fuente de Juventud Inc
Locations
2008 Redskin Ave
#A
Donna, TX 78537
Phone (956) 377-5158
1138 E Interstate 2
Ste E
Pharr, TX 78577
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Day Care Clinic/Center | 261QA0600X | Yes |
Addresses
Primary practice location
2008 Redskin Ave Ste a
Donna, TX 78537-3299
Mailing address
1138 E Interstate 2 Ste E
Pharr, TX 78577-6519
Phone (956) 702-3323
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8007326201 | Medicaid | TX |
Other providers in Donna, TX
- Caleb Flores
- Katherine Flores
- Michael Anthony Flores
- Audrey Leanor Fox
- Friendly Hands Medical Transport
- Edgar Garate
- Benjamin Yanez Garcia
- Daniela Alejandra Garcia
- Marlene Sarahi Garcia
- Mary Ellen Garcia
All providers in Donna, TX · Adult Day Care Clinic/Center in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 14, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.