NPI | 1013219617 |
---|---|
Doing Business As | TEXAS GOLDEN AGE ADC |
Entity Type | Organization |
Authorized Contact | LYLE X MATTHIS Business Director 214-837-6950 |
Organization Subpart ? | No |
Primary Taxonomy | 261QA0600X Clinic/Center, Adult Day Care |
Additional Taxonomies | 111NN1001X Chiropractor, Nutrition |
133NN1002X Nutritionist, Nutrition, Education | |
251S00000X Community/Behavioral Health | |
343900000X Non-emergency Medical Transport (VAN) | |
385H00000X Respite Care | |
Enumeration Date | 2010-12-02 |
Last Update Date | 2025-01-07 |