| Organization Name: | MY GOLDEN YEARS III |
| NPI Number: | 1003023052 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | LAURA FLORES (VICEPRESIDENT) |
| Mailing Address: | 3001 S Us Hwy 83 Zapata |
| State: | TX US |
| Postal Code: | 780760786 |
| Phone Number: | 9567650500 |
| Fax Number: | 9567650504 |
| NPI Enumeration Date: | 05/17/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QA0600X |
| License Number: | 117583 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Adult Day Care |
| Taxonomy Definition: | |