Organization
ORTIZ FOSTER HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID JESUS CHAVEZ (OWNER)
(915) 346-2475
Entity
Organization
Contact information
Practice address
2033 ANISE DR, EL PASO, TX 79935-2619
(915) 346-2475
Mailing address
2033 ANISE DR, EL PASO, TX 79935-2619
(915) 346-2475
Taxonomy
Speciality
Code
Description
License number
State
311Z00000X
Custodial Care Facility
—
—
311ZA0620X
Adult Care Home Facility
Primary
—
—
Other
Enumeration date
10/09/2023
Last updated
10/11/2023
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