Linda Goode
Custodial Care Facility, Adult Care Home in Rusk, TX. Organization (NPI-2).
NPI number1649672007
StatusActive
Last updated in NPPESSep 17, 2014
Details
- NPI
- 1649672007
- Entity type
- Organization (NPI-2)
- Legal business name
- Linda Goode
- Organization subpart
- No
- Enumeration date
- Sep 17, 2014
- Last updated
- Sep 17, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 311ZA0620X | Custodial Care Facility, Adult Care Home | 137067 | TX | Yes |
Practice location
111 Plum StRusk, TX 75785-2327
Phone 936-414-6918
Mailing address
111 Plum StRusk, TX 75785-2327
Phone 936-414-6918
Authorized official
Linda Goode
Owner/Afc Provider
9364146918
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