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Organization

GOLDEN AGE SENIOR CARE OF CIELO VISTA, LLC

Active
Other names
SunRidge at Cielo Vista
Organization subpart
No

Provider details

NPI number
Authorized official
JEFFREY A DAVIS (MANAGING MEMBER)
(312) 521-7600
Entity
Organization

Contact information

Practice address
7949 SUNMOUNT DR, EL PASO, TX 79925-4892
(915) 772-4036
(915) 772-2191
Mailing address
125 S WACKER DR STE 1800, CHICAGO, IL 60606-4313
(312) 357-1611

Taxonomy

Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
133882
TX

Other

Enumeration date
10/23/2012
Last updated
10/23/2012
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