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Organization
FAR EAST FOSTER HOME
Active
Organization
FAR EAST FOSTER HOME
Active
Other names
Far East Foster Home
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MOBOLAJI JOHNSON OMOTOSHO (CEO)
(915) 861-9977
Entity
Organization
Contact information
Practice address
14310 PANCHO GONZALEZ CT, UNIT B, EL PASO, TX 79938-5465
(915) 861-9977
Mailing address
14310 PANCHO GONZALEZ CT, UNIT B, EL PASO, TX 79938-5465
(915) 861-9977
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
HFFX15-00079
TX
Other
Enumeration date
01/22/2016
Last updated
01/22/2016
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