Organization
GENTLE WIND
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARCELLUS LEVAR CHAPMAN (ADMINISTRATOR)
(915) 872-8533
Entity
Organization
Contact information
Practice address
12244 RATHMORE DR, EL PASO, TX 79928-8612
(915) 872-8533
Mailing address
12244 RATHMORE DR, EL PASO, TX 79928-8612
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
04/20/2010
Last updated
04/21/2010
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