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:
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:
730 COUNTY ROAD 664 DEVINE, TX 78016 US
Tel: 830-665-4801 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 3104A0630X | Nursing & Custodial Care Facilities Assisted Living Facility Assisted Living, Behavioral Disturbances | TX | 117528 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
SOCIAL SECURITY # | $$$$$$$$$ | TX | 01 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin