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General NPI Number Information
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NPI Number | 1003803123
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Entity Type | Organization
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Legal Business Name | DALEDO CARE CENTERS INC
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Dates
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Enumeration Date | 10/04/2005
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 1315 E STATE HIGHWAY 22
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City | HAMILTON
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State | TX
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Zip | 76531-3173
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Country | US
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Telephone | 254-386-3171
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Fax | 254-386-8261
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Provider Business Mailing Address
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Address Line | 1315 E STATE HIGHWAY 22
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City | HAMILTON
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State | TX
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Zip | 76531-3173
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Country | US
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Telephone | 254-386-3171
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Fax | 254-386-8261
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. WILLIAM DOUGLAS FORREST
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Credential |
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Telephone | 254-386-3171
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 314000000X
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Taxonomy Name | Skilled Nursing Facility
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License Number | 111872
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 310400000X
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Taxonomy Name | Assisted Living Facility
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License Number | 115088
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License Number State | TX
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