Organization
A HOME FOR LORENZO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE CAMPOS C.E.O, NCC, MS M.H.C (CEO)
(915) 305-6965
Entity
Organization
Contact information
Practice address
960 CHELSEA ST, EL PASO, TX 79903-4927
(915) 213-4705
Mailing address
8213 VALLE ALEGRE DR, EL PASO, TX 79907-4244
(915) 305-6965
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
—
—
Other
Enumeration date
09/12/2022
Last updated
09/12/2022
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