Provider Demographics
NPI:1639225428
Name:SRRLLC
Entity Type:Organization
Organization Name:SRRLLC
Other - Org Name:FRIO ADULT DAYCARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ALMA
Authorized Official - Middle Name:S
Authorized Official - Last Name:MALDONADO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:830-334-9390
Mailing Address - Street 1:P.O. BOX 1145
Mailing Address - Street 2:1796 B1 35 E
Mailing Address - City:PEARSALL
Mailing Address - State:TX
Mailing Address - Zip Code:78061
Mailing Address - Country:US
Mailing Address - Phone:830-334-9390
Mailing Address - Fax:830-334-9423
Practice Address - Street 1:1796 BI 35 E
Practice Address - Street 2:
Practice Address - City:PEARSALL
Practice Address - State:TX
Practice Address - Zip Code:78061
Practice Address - Country:US
Practice Address - Phone:830-334-9390
Practice Address - Fax:830-334-9423
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-26
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
261QA0600X
TX302R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care
No302R00000XManaged Care OrganizationsHealth Maintenance Organization