Organization
LA SALLE CO. ELDERLY NUTRIITION PROGRAM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GRACIELA ORTIZ (PROGRAM DIRECTOR)
(830) 879-2804
Entity
Organization
Contact information
Practice address
119 S FRONT, COTULLA, TX 78014-2261
(830) 879-2804
(830) 879-4233
Mailing address
119 S FRONT, COTULLA, TX 78014-2261
(830) 879-2804
(830) 879-4233
Taxonomy
Speciality
Code
Description
License number
State
332U00000X
Home Delivered Meals
Primary
—
TX
Other
Enumeration date
05/22/2007
Last updated
08/22/2020
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