Provider Demographics
NPI:1033556154
Name:LA SIERRA LINDA ADC
Entity Type:Organization
Organization Name:LA SIERRA LINDA ADC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:RN/OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:NORA
Authorized Official - Middle Name:ISELA
Authorized Official - Last Name:MUNOZ
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:956-536-2344
Mailing Address - Street 1:1514 S 77 SUNSHINESTRIP
Mailing Address - Street 2:SUITE 6
Mailing Address - City:HARLINGEN
Mailing Address - State:TX
Mailing Address - Zip Code:78550-7208
Mailing Address - Country:US
Mailing Address - Phone:956-421-4312
Mailing Address - Fax:956-421-4315
Practice Address - Street 1:1514 S 77 SUNSHINESTRIP
Practice Address - Street 2:SUITE 6
Practice Address - City:HARLINGEN
Practice Address - State:TX
Practice Address - Zip Code:78550-7208
Practice Address - Country:US
Practice Address - Phone:956-421-4312
Practice Address - Fax:956-421-4315
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-05-30
Last Update Date:2013-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX136813261QA0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care