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Amanda Gomez
Adult Care Home Facility in Alto, Texas
NPI 1578964078

Amanda Gomez is an Adult Care Home Facility based in Alto, TX and is specialized in Adult Care Home. Amanda Gomez practices in Alto, TX. The NPI Number for Amanda Gomez is 1578964078 and holds a License No. (Texas).

The current practice location address for Amanda Gomez is 113 Tyler Ave, Alto, TX and can be reached out via phone at 936-205-6628.

Location: 113 Tyler Ave, Alto, TX, 75925-0206
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1578964078
Provider Name
Amanda Gomez
Credential
Provider Entity Type
Organization
Address
113 Tyler Ave, Alto, TX, 75925-0206
Phone Number
936-205-6628
Fax Number
Provider Enumeration Date
09/16/2014
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
001004322 05 TX
institution
Provider Business Practice Location Address Details
Address
113 Tyler Ave
City
Alto
State
Texas
Zip
75925-3306
Phone Number
936-205-6628
Fax Number
person
Provider Business Mailing Address Details
Address
113 Tyler Ave
City
Alto
State
Texas
Zip
75925-3306
Phone Number
936-205-6628
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Custodial Care Facility
Speciality
Adult Care Home
Taxonomy
311ZA0620X
License No.
()
Definition
A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.
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