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BLACK CASINO LLC NPI 1093956831


NPI Information

NPI: 1093956831
Provider Name: BLACK CASINO LLC

Doing Business As: DAY BREAK ADULT DAY CARE

Classification: Clinic/Center - 261QA0600X
Entity Type: Organization

Specialization: Adult Day Care

Address:
302 WASHINGTON ST SUITE B
LAREDO, TX
ZIP 78040
Phone: (956) 726-1812
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BLACK CASINO LLC is an adult day care clinic center in Laredo, TX. BLACK CASINO LLC NPI is 1093956831. The provider is registered as an organization entity type.
The provider Is Doing Business As Day Break Adult Day Care.

The provider's business location address is:

302 WASHINGTON ST SUITE B
LAREDO, TX
ZIP 78040
Phone: (956) 726-1812
Fax: (956) 726-1270

The provider's authorized official is Teresa Padilla .
The authorized official title is Secretary and has the following contact phone number (956) 726-1812.

The enumeration date for this NPI number is 3/6/2009 and was last updated on 6/19/2018.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QA0600XClinic/CenterAdult Day CareNo
2261QA0600XClinic/CenterAdult Day Care149376TEXASYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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