Organization
MY GRANDMA'S HOUSE
Active
Other names
La Casa De Mi Abuela
Organization subpart
No
Provider details
NPI number
Authorized official
LEAR RIOJAS (EXECUTIVE DIRECTOR)
(254) 402-9466
Entity
Organization
Contact information
Practice address
3185 DIEGO AIDAN DR, EL PASO, TX 79938-2744
(255) 440-2946
Mailing address
3185 DIEGO AIDAN DR, EL PASO, TX 79938-2744
(254) 402-9466
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
—
—
372600000X
Adult Companion
—
—
Other
Enumeration date
12/01/2023
Last updated
12/01/2023
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