# ST TERESA NURSING AND REHABILITATION CENTER, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** St Teresa Nursing and Rehabilitation Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1356788897
- **Authorized official:** SHAWN CONLEY (C F O)
- **Authorized official phone:** (817) 332-3030

## Contact information

- **Practice address:** 10350 MONTANA AVENUE, EL PASO, TX 79925-1602
- **Practice address phone:** (915) 595-6137
- **Practice address fax:** (915) 595-6186
- **Mailing address:** 10350 MONTANA AVENUE, EL PASO, TX 79925-1602
- **Mailing address phone:** (915) 595-6137
- **Mailing address fax:** (915) 595-6186

## Taxonomy

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

## Other

- **Enumeration date:** 05/23/2013
- **Last updated:** 01/14/2014

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 001021253 | — | TX |