Healthcare Provider Details

I. General information

NPI: 1003803123
Provider Name (Legal Business Name): DALEDO CARE CENTERS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/04/2005
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1315 E STATE HIGHWAY 22
HAMILTON TX
76531-3173
US

IV. Provider business mailing address

1315 E STATE HIGHWAY 22
HAMILTON TX
76531-3173
US

V. Phone/Fax

Practice location:
  • Phone: 254-386-3171
  • Fax: 254-386-8261
Mailing address:
  • Phone: 254-386-3171
  • Fax: 254-386-8261

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code310400000X
TaxonomyAssisted Living Facility
License Number115088
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number111872
License Number StateTX

VIII. Authorized Official

Name: MR. WILLIAM DOUGLAS FORREST
Title or Position: PRESIDENT
Credential:
Phone: 254-386-3171