Organization
MY GOLDEN YEARS II
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LAURA FLORES (VICEPRESIDENT)
(956) 487-4110
Entity
Organization
Contact information
Practice address
359 PVT LEOPOLDO LONGORIA ST, LA GRULLA, TX 78548
(956) 487-4110
(956) 488-8145
Mailing address
PO BOX 419, GRULLA, TX 78548-0419
(956) 487-4110
(956) 488-8145
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
117169
TX
Other
Enumeration date
05/17/2007
Last updated
08/22/2020
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