Provider Demographics
NPI:1548854367
Name:EL PARAISO ADULT DAY CARE
Entity type:Organization
Organization Name:EL PARAISO ADULT DAY CARE
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SHELLY
Authorized Official - Middle Name:
Authorized Official - Last Name:RELKO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:956-639-0464
Mailing Address - Street 1:PO BOX 775
Mailing Address - Street 2:
Mailing Address - City:WESLACO
Mailing Address - State:TX
Mailing Address - Zip Code:78599-0775
Mailing Address - Country:US
Mailing Address - Phone:956-639-0464
Mailing Address - Fax:
Practice Address - Street 1:301 VOGEL DR
Practice Address - Street 2:
Practice Address - City:MERCEDES
Practice Address - State:TX
Practice Address - Zip Code:78570-4324
Practice Address - Country:US
Practice Address - Phone:956-639-0464
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-02-22
Last Update Date:2021-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care
No174200000XOther Service ProvidersMeals