Organization
RAYMONDVILLE ADULT DAY CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PEDRO HERRERA (OWNER)
(210) 264-8740
Entity
Organization
Contact information
Practice address
100 N US HIGHWAY 77 STE 2, RAYMONDVILLE, TX 78580-4000
(210) 264-8740
(956) 443-3513
Mailing address
100 N US HIGHWAY 77 STE 2, RAYMONDVILLE, TX 78580-4000
(210) 264-8740
(956) 443-3513
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00000
—
TX
Enumeration date
03/25/2020
Last updated
03/25/2020
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