Organization
FAR EAST FOSTER HOME
Active
Other names
Far East Foster Home
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MOBOLAJI JOHNSON OMOTOSHO (CEO)
(915) 861-9977
Entity
Organization
Contact information
Practice address
14310 PANCHO GONZALEZ CT, UNIT B, EL PASO, TX 79938-5465
(915) 861-9977
Mailing address
14310 PANCHO GONZALEZ CT, UNIT B, EL PASO, TX 79938-5465
(915) 861-9977
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
HFFX15-00079
TX
Other
Enumeration date
01/22/2016
Last updated
01/22/2016
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