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MINNIE D. CRUZ

Assisted Living, Behavioral Disturbances

Devine, Texas

Provider NPI: 1871509604

Organization Information:
Organization Name:  MINNIE D. CRUZ


Practice Location:
730 COUNTY ROAD 664  DEVINE, TX 78016 US
Tel: 830-665-4801  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y3104A0630XNursing & Custodial Care Facilities
Assisted Living Facility
Assisted Living, Behavioral Disturbances
TX117528

Other Provider Identifiers:

IssuerNumberStateType
SOCIAL SECURITY #$$$$$$$$$TX01
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




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