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1578964078
AMANDA GOMEZ
ALTO, TX
NPI
1578964078
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Entity Type
Organization
Authorized Contact
AMANDA GOMEZ
Owner
936-205-6628
Organization Subpart ?
No
Primary Taxonomy
311ZA0620X Custodial Care Facility Adult Care Home
Enumeration Date
2014-09-16
Last Update Date
2014-09-16
Business Address
AMANDA GOMEZ
113 TYLER AVE
ALTO, TX 75925-3306
Phone number: 936-205-6628
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Mailing Address
AMANDA GOMEZ
PO BOX 206
ALTO, TX 75925-0206
Phone number: 936-205-6628
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