| Organization Name: | VIDA ADULT DAY CARE, LLC |
| NPI Number: | 1790081693 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | YOLANDA BALDERAS (PRESIDENT) |
| Mailing Address: | 301 Vogel Drive Mercedes |
| State: | TX US |
| Postal Code: | 785704324 |
| Phone Number: | 9568257205 |
| Fax Number: | 9568257206 |
| NPI Enumeration Date: | 02/10/2011 |
| NPI Last Update Date: | 07/25/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QA0600X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Adult Day Care |
| Taxonomy Definition: | |