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Organization
MARDAV INC
Active
Organization
MARDAV INC
Active
Other names
Paraiso Primary Home Care
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LORENA MALDONADO (ADMINISTRATOR)
(915) 262-0457
Entity
Organization
Contact information
Practice address
3105 N YARBROUGH DR STE 112, EL PASO, TX 79925-3164
(915) 262-0457
(915) 262-0430
Mailing address
3100 EDGEROCK DR, EL PASO, TX 79935-1526
(915) 262-0457
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
3747P1801X
Personal Care Attendant
—
—
Other
Enumeration date
08/29/2014
Last updated
09/09/2020
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