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Organization

GOLD HORSES, LLC

Active
Other names
Del Cielo Adult Day Care
Organization subpart
No

Provider details

NPI number
Authorized official
MR. ANDRES ELIZONDO II (CEO)
(361) 661-1200
Entity
Organization

Contact information

Practice address
411 N KING ST, ALICE, TX 78332-4763
(361) 661-1200
Mailing address
411 N KING ST, ALICE, TX 78332-4763
(361) 661-1200

Taxonomy

Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
119123
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
75K7019
STATE CONTRACT #
TX
Enumeration date
10/25/2007
Last updated
10/25/2007
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