Healthcare Provider Details

I. General information

NPI: 1801128541
Provider Name (Legal Business Name): SAB SARA LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/05/2010
Last Update Date: 02/05/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4200 W HWY 83
MISSION TX
78572
US

IV. Provider business mailing address

4200 W HWY 83
MISSION TX
78572
US

V. Phone/Fax

Practice location:
  • Phone: 956-519-1339
  • Fax: 956-519-0150
Mailing address:
  • Phone: 956-519-1339
  • Fax: 956-519-0150

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code311ZA0620X
TaxonomyAdult Care Home Facility
License Number
License Number State

VIII. Authorized Official

Name: MS. SARA VELA
Title or Position: SECRETARY
Credential:
Phone: 956-821-2886