# PATRIOT SKILLED NURSING AND REHABILITATION LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1912516329
- **Authorized official:** LLOYD DOUGLAS (MANAGER)
- **Authorized official phone:** (817) 441-6629

## Contact information

- **Practice address:** 11490 GATEWAY N BLVD., EL PASO, TX 79934
- **Practice address phone:** (318) 812-2140
- **Mailing address:** 239 AVE ARTERIAL HOSTOS STE 606, SAN JUAN, PR 00918-1347
- **Mailing address phone:** (787) 232-5005

## Taxonomy

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

## Other

- **Enumeration date:** 07/31/2020
- **Last updated:** 07/31/2020