Organization
EL PASO VI ENTERPRISES, L.L.C.
Active
Other names
St. Teresa Nursing & Rehab Center
Organization subpart
No
Provider details
NPI number
Authorized official
GARY BLAKE (MANAGING MEMBER)
(817) 348-8959
Entity
Organization
Contact information
Practice address
10350 MONTANA AVE, EL PASO, TX 79925-1602
(915) 595-6137
(682) 258-0794
Mailing address
4150 INTERNATIONAL PLZ STE 600, FORT WORTH, TX 76109-4831
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
11/06/2018
Last updated
12/30/2024
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