# NAZARETH HALL

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Nazareth Living Care Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1538114525
- **Authorized official:** MRS. JOY MARTINEZ (ADMINISTRATOR/CEO)
- **Authorized official phone:** (915) 565-4677

## Contact information

- **Practice address:** 1475 RAYNOLDS ST, EL PASO, TX 79903-3122
- **Practice address phone:** (915) 565-4677
- **Practice address fax:** (915) 565-5118
- **Mailing address:** 1475 RAYNOLDS ST, EL PASO, TX 79903-3122
- **Mailing address phone:** (915) 565-4677
- **Mailing address fax:** (915) 565-5118

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 123868 | TX | Yes |
| 332BN1400X | Nursing Facility Supplies (DME) | 0099750 | TX | — |
| 332BP3500X | Parenteral & Enteral Nutrition Supplies (DME) | 0099750 | TX | — |

## Other

- **Enumeration date:** 05/24/2006
- **Last updated:** 01/11/2013

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 000485901 | — | TX |