Organization
MILAGRO HEALTHCARE SERVICES
Active
Other names
Milagro Adult Foster Home
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SYLVIA BONILLA-KRUEGER (ADMINISTRATOR)
(915) 642-4105
Entity
Organization
Contact information
Practice address
1140 ADA LN, EL PASO, TX 79932-2804
(915) 642-4105
Mailing address
1140 ADA LN, EL PASO, TX 79932-2804
(915) 642-4105
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
LHOC15-00236
TX
Other
Enumeration date
11/13/2015
Last updated
11/13/2015
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