Organization
SU CASA PERSONAL CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AIDA VARGAS (ADMINISTRATOR / OWNER)
(915) 355-4201
Entity
Organization
Contact information
Practice address
5003 ALABAMA ST, EL PASO, TX 79930-2615
(915) 566-0800
(915) 300-2040
Mailing address
5003 ALABAMA ST, EL PASO, TX 79930-2615
(915) 566-0800
(915) 300-2040
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
02/24/2023
Last updated
02/24/2023
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