Provider Demographics
NPI:1114180270
Name:LA PLACITA ADULT DAY CARE, INC.
Entity Type:Organization
Organization Name:LA PLACITA ADULT DAY CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:RAQUEL
Authorized Official - Middle Name:B
Authorized Official - Last Name:ESCALANTE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:956-585-6167
Mailing Address - Street 1:3509 E MAIN AVE STE 103
Mailing Address - Street 2:
Mailing Address - City:ALTON
Mailing Address - State:TX
Mailing Address - Zip Code:78573-1290
Mailing Address - Country:US
Mailing Address - Phone:956-585-6167
Mailing Address - Fax:956-583-3999
Practice Address - Street 1:3509 E MAIN AVE STE 103
Practice Address - Street 2:
Practice Address - City:ALTON
Practice Address - State:TX
Practice Address - Zip Code:78573-1290
Practice Address - Country:US
Practice Address - Phone:956-585-6167
Practice Address - Fax:956-583-3999
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-08
Last Update Date:2008-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care