Organization
LA JARRA ASSISTED LIVING FACILITY
Active
Parent organization
LA JARRA DEVELOPMENT
Organization subpart
Yes
Provider details
NPI number
Legal business name
LA JARRA DEVELOPMENT
Authorized official
FRED BALLARD (GENERAL MANAGER)
(512) 423-0178
Entity
Organization
Contact information
Practice address
12615 LAS MAJADAS RANCH RD, RAYMONDVILLE, TX 78580
(512) 423-0178
Mailing address
PO BOX 520, RAYMONDVILLE, TX 78580-0520
(512) 423-0178
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
171W00000X
Contractor
—
—
310400000X
Assisted Living Facility
—
—
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
373H00000X
Day Training/Habilitation Specialist
—
—
Other
Enumeration date
12/09/2014
Last updated
05/03/2022
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