La Bahia Adult Day Care
Organization Active NPI Adult Day Care Clinic/Center · Goliad, TX
NPI 1639367287 · NPPES record last updated Oct 9, 2007
Key facts
- NPI
- 1639367287
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Adult Day Care Clinic/Center 261QA0600X
- License
- 120217 (TX)
- Legal business name
- LA BAHIA ADULT DAY CARE
- Practice address
- 446 N Jefferson St
Goliad, TX 77963-4022 - Phone
- (361) 645-8797
- Fax
- (361) 645-4019
- NPI assigned
- Oct 9, 2007
- Organization subpart
- No
Authorized official
- Name
- Ms. Suzanne Pendergraph
- Title
- Owner/Administrator
- Phone
- (361) 645-8797
National Provider Directory
Locations
446 N Jefferson St
Goliad, TX 77963
Phone (361) 645-8797
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Day Care Clinic/Center | 261QA0600X | 120217 | TX | Yes |
Addresses
Primary practice location
446 N Jefferson St
Goliad, TX 77963-4022
Mailing address
446 N Jefferson St
Goliad, TX 77963-4022
Phone (361) 645-8797
Other providers in Goliad, TX
- Mary Heryford
- Kaitlyn Hill
- Loree Jefferson
- Joel Kordik
- KVM Pharmacy Solutions LLC
- La Bahia Nursing and Rehabilitation LP
- Jessica Rae Lambeck
- Lisa Ann Martinez
- Kongyan Drew Nicely
- Alex Nunez
All providers in Goliad, TX · Adult Day Care Clinic/Center in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 9, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.