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Organization
ELSIE DANIELS
Active
Organization
ELSIE DANIELS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELSIE FAY DANIELS (HEALTHCARE PROVIDER)
(936) 635-8691
Entity
Organization
Contact information
Practice address
378 MEGGIE SESSIONS ST., ALTO, TX 75925
(936) 635-8691
Mailing address
PO BOX 206, ALTO, TX 75925-0206
(936) 635-8691
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000615200
—
TX
Enumeration date
09/19/2014
Last updated
11/06/2019
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