Organization
FOSTER CARE NISSI
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LUZ GONZALEZ (OWNER)
(915) 849-1603
Entity
Organization
Contact information
Practice address
11640 NORMAN MONTION DR, EL PASO, TX 79936-0710
(915) 849-1603
(915) 849-1603
Mailing address
11640 NORMAN MONTION DR, EL PASO, TX 79936-0710
(915) 849-1603
(915) 849-1603
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
LHOC16-00013
TX
Other
Enumeration date
07/06/2016
Last updated
07/06/2016
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