Individual
CECILIA JAUREGUI TERRES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11651 CLEAR LAKE WAY, EL PASO, TX 79936-4382
(915) 921-6752
Mailing address
11651 CLEAR LAKE WAY, EL PASO, TX 79936-4382
(915) 921-6752
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
146935
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
146935
TEXAS DEPARTMENT OF AGING AND DISABILITY SERVICES ASSISTED LIVING LICENSE
TX
Enumeration date
01/18/2017
Last updated
11/14/2018
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