Organization
LUCKY LOVE GOLD DIAMOND
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELAINE NGUYEN (MANAGER)
(682) 234-5074
Entity
Organization
Contact information
Practice address
1120 E PIONEER PKWY STE 102, ARLINGTON, TX 76010-6400
(682) 234-5074
Mailing address
1120 E PIONEER PKWY STE 102, ARLINGTON, TX 76010-6400
(682) 234-5074
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
12/14/2022
Last updated
12/14/2022
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