Organization
ASSISTED LIVING
Active
Other names
Miguel f. Leyva, minerva sustaita
Organization subpart
No
Provider details
NPI number
Authorized official
MINERVA SUSTAITA (OWNER)
(915) 519-5735
Entity
Organization
Contact information
Practice address
11065 TOM WEISKOPF DR, EL PASO, TX 79936
(915) 694-6886
Mailing address
11065 TOM WEISKOPF DR, EL PASO, TX 79936-3519
(915) 694-6886
Taxonomy
Speciality
Code
Description
License number
State
174200000X
Meals Provider
—
—
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
08/24/2018
Last updated
08/26/2018
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