Organization
VIDA ADULT DAY CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. YOLANDA BALDERAS R.N. (PRESIDENT)
(956) 825-7205
Entity
Organization
Contact information
Practice address
301 VOGEL DRIVE, MERCEDES, TX 78570-4324
(956) 825-7205
(956) 825-7206
Mailing address
301 VOGEL DRIVE, MERCEDES, TX 78570-4324
(956) 825-7205
(956) 825-7206
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
132778
TX
261QA0600X
Adult Day Care Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001020174
—
TX
Enumeration date
02/10/2011
Last updated
07/25/2012
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