Individual
ELSIE FAYE DANIELS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1020 E TITUS ST, MEXIA, TX 76667-3072
(936) 635-8691
Mailing address
1020 E TITUS ST, MEXIA, TX 76667-3072
(936) 635-8691
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
NA
TX
Other
Enumeration date
11/17/2020
Last updated
11/17/2020
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