Organization Name: | LA SIERRA LINDA ADC |
NPI Number: | 1033556154 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | NORA ISELA MUNOZ (RN/OWNER) |
Mailing Address: | 1514 S 77 Sunshinestrip Suite 6 Harlingen |
State: | TX US |
Postal Code: | 785507208 |
Phone Number: | 9564214312 |
Fax Number: | 9564214315 |
NPI Enumeration Date: | 05/30/2013 |
NPI Last Update Date: | 05/30/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QA0600X |
License Number: | 136813 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Adult Day Care |
Taxonomy Definition: |