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Organization

GOLDEN PARADISE REHAB

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. EFRAIN AGUSTINE (OWNER)
(956) 461-2041
Entity
Organization

Contact information

Practice address
3005 E BUSINESS HIGHWAY 83 UNIT A, DONNA, TX 78537-3623
(956) 461-2041
(956) 461-2072
Mailing address
3005 E BUSINESS HIGHWAY 83 UNIT A, DONNA, TX 78537-3623
(956) 461-2041
(956) 461-2072

Taxonomy

Speciality
Code
Description
License number
State
305S00000X
Point of Service
Primary
17798
TX

Other

Enumeration date
12/03/2011
Last updated
12/03/2011
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