# PATRIOT REHABILITATION AND WELLNESS CENTER LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Patriot Rehabilitation and Wellness Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1215493416
- **Authorized official:** DAWNE SMITH (MANAGER)
- **Authorized official phone:** (318) 812-2140

## Contact information

- **Practice address:** 11490 GATEWAY NORTH BLVD., EL PASO, TX 79934
- **Practice address phone:** (318) 812-2140
- **Mailing address:** 1905 N 7TH ST, WEST MONROE, LA 71291-4415
- **Mailing address phone:** (318) 812-4120

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | — | — | Yes |

## Other

- **Enumeration date:** 02/13/2019
- **Last updated:** 02/13/2019