Organization
LA BAHIA ADULT DAY CARE
Active
Organization
LA BAHIA ADULT DAY CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SUZANNE PENDERGRAPH (OWNER/ADMINISTRATOR)
(361) 645-8797
Entity
Organization
Contact information
Practice address
446 N JEFFERSON ST, GOLIAD, TX 77963-4022
(361) 645-8797
(361) 645-4019
Mailing address
446 N JEFFERSON ST, GOLIAD, TX 77963-4022
(361) 645-8797
(361) 645-4019
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
120217
TX
Other
Enumeration date
10/09/2007
Last updated
10/09/2007
Update your record
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