Organization
ANGELS HEAVEN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIA GRIJALVA (CEO)
(915) 859-9662
Entity
Organization
Contact information
Practice address
12256 RANCHO TRAIL DR, EL PASO, TX 79936-8600
(915) 859-9662
Mailing address
12256 RANCHO TRAIL DR, EL PASO, TX 79936-8600
Taxonomy
Speciality
Code
Description
License number
State
311Z00000X
Custodial Care Facility
Primary
—
—
Other
Enumeration date
02/25/2013
Last updated
02/25/2013
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