Provider Demographics
NPI:1962849273
Name:LA VIDA BUENA DAYCARE LLC
Entity Type:Organization
Organization Name:LA VIDA BUENA DAYCARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATIVE ASSISTANT
Authorized Official - Prefix:
Authorized Official - First Name:LOUISE
Authorized Official - Middle Name:
Authorized Official - Last Name:WOODS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:361-668-0850
Mailing Address - Street 1:1004 E 6TH ST
Mailing Address - Street 2:
Mailing Address - City:ALICE
Mailing Address - State:TX
Mailing Address - Zip Code:78332-4656
Mailing Address - Country:US
Mailing Address - Phone:361-668-0850
Mailing Address - Fax:361-668-0869
Practice Address - Street 1:1004 E 6TH ST
Practice Address - Street 2:
Practice Address - City:ALICE
Practice Address - State:TX
Practice Address - Zip Code:78332-4656
Practice Address - Country:US
Practice Address - Phone:361-668-0850
Practice Address - Fax:361-668-0869
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-05-28
Last Update Date:2019-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care