| Organization Name: | MERCEDES ADULT DAY CARE, LLC |
| NPI Number: | 1760522106 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JUANITA L RAUSCHENBACH (ADMINISTRATOR) |
| Mailing Address: | 107 - A. North Texas Ave. Mercedes |
| State: | TX US |
| Postal Code: | 785700000 |
| Phone Number: | 9565652977 |
| Fax Number: | 9565652961 |
| NPI Enumeration Date: | 02/07/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QA0600X |
| License Number: | 118481 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Adult Day Care |
| Taxonomy Definition: | |