Organization
ACTIONCARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESSE MARROTT (ADMINISTRATOR)
(915) 598-6616
Entity
Organization
Contact information
Practice address
10450 BRIAN MOONEY AVE, EL PASO, TX 79935-2809
(915) 598-6616
Mailing address
10450 BRIAN MOONEY AVE, EL PASO, TX 79935-2809
Taxonomy
Speciality
Code
Description
License number
State
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
Primary
106777
TX
Other
Enumeration date
09/14/2011
Last updated
09/14/2011
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