Organization
LA JARRA ADULT DAY CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FRED BALLARD (OWNER)
(512) 423-0178
Entity
Organization
Contact information
Practice address
12601 LAS MAJADAS RANCH RD, RAYMONDVILLE, TX 78580
(956) 699-2179
Mailing address
12601 LAS MAJADAS RANCH RD, RAYMONDVILLE, TX 78580-0149
(956) 699-2179
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
—
—
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
01/22/2015
Last updated
07/01/2022
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