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Organization

ELP COMMUNITY HEALTHCARE SERVICES LLC

Active
Other names
Community Healthcare Services, ELP COMMUNITY HEALTHCARE SERVICES llc
Organization subpart
No

Provider details

NPI number
Authorized official
PATRICIA MAZIE KALU RN (ADMINISTRATOR)
(915) 587-9994
Entity
Organization

Contact information

Practice address
513 PHIL HANSEN DR, CANUTILLO, TX 79835-8311
(915) 587-9994
(915) 833-0922
Mailing address
513 PHIL HANSEN DR, CANUTILLO, TX 79835-8311
(915) 587-9994
(915) 833-0922

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
009014
TX
251E00000X
Home Health Agency
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
020250
TEXAS HEALTH AND HUMAN SERVICES AGENCY LICENSE
TX
05
350656001
TX
Enumeration date
02/14/2007
Last updated
08/31/2022
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