Whalio Doctors

NPI 1386042208

La Jarra Assisted Living Facility

Organisation Mental Illness Community Based Residential Treatment Facility Raymondville, TX

Practice location

Address
12615 Las Majadas Ranch Rd, Raymondville, TX 78580
Phone
(512) 423-0178
Mailing address
PO Box 520, Raymondville, TX 78580-0520

Authorised official

Name
Fred Ballard
Title
General Manager
Phone
(512) 423-0178

Registered specialties (5)

Mental Illness Community Based Residential Treatment Facility Primary
Residential Treatment Facilities Taxonomy 320800000X
Case Manager/Care Coordinator
Other Service Providers Taxonomy 171M00000X
Contractor
Other Service Providers Taxonomy 171W00000X
Assisted Living Facility
Nursing & Custodial Care Facilities Taxonomy 310400000X
Day Training/Habilitation Specialist
Nursing Service Related Providers Taxonomy 373H00000X

Registry record

NPI
1386042208
Entity type
Organization
NPI issued
9 Dec 2014
Record last updated
3 May 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.