# LA SALLE CO. ELDERLY NUTRIITION PROGRAM

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1679782981
- **Authorized official:** GRACIELA ORTIZ (PROGRAM DIRECTOR)
- **Authorized official phone:** (830) 879-2804

## Contact information

- **Practice address:** 119 S FRONT, COTULLA, TX 78014-2261
- **Practice address phone:** (830) 879-2804
- **Practice address fax:** (830) 879-4233
- **Mailing address:** 119 S FRONT, COTULLA, TX 78014-2261
- **Mailing address phone:** (830) 879-2804
- **Mailing address fax:** (830) 879-4233

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332U00000X | Home Delivered Meals | — | TX | Yes |

## Other

- **Enumeration date:** 05/22/2007
- **Last updated:** 08/22/2020