# DIAMOND REHABILITATION CENTER

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1003865452
- **Authorized official:** SAMUEL DE AVILA (ADMINISTRATOR)
- **Authorized official phone:** (915) 778-1796

## Contact information

- **Practice address:** 5721 E YANDELL DR, EL PASO, TX 79925-3350
- **Practice address phone:** (915) 778-1796
- **Practice address fax:** (915) 778-8150
- **Mailing address:** 5721 E YANDELL DR, EL PASO, TX 79925-3350
- **Mailing address phone:** (915) 778-1796
- **Mailing address fax:** (915) 778-8150

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR0401X | Comprehensive Outpatient Rehabilitation Facility (CORF) | — | TX | Yes |

## Other

- **Enumeration date:** 05/10/2006
- **Last updated:** 08/22/2020