PLEASANT VALLEY ENTERPRIZES INC.
Adult Care Home
Mission, Texas
Provider NPI: 1649468950
Organization Information:Organization Name: PLEASANT VALLEY ENTERPRIZES INC.
Practice Location:
2700 E GRIFFIN PKWY SUITE B MISSION, TX 78572 US
Tel: 956-664-2663 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Other Provider Identifiers:
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
Practice Location:
2700 E GRIFFIN PKWY SUITE B MISSION, TX 78572 US
Tel: 956-664-2663 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
N | 311ZA0620X | Nursing & Custodial Care Facilities Custodial Care Facility Adult Care Home | TX | 120690 |
Y | 311Z00000X | Nursing & Custodial Care Facilities Custodial Care Facility | TX | 120690 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
SPECIAL NUTRUTION PROGRAM | TX-108-6019 | TX | 01 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin