Organization
BIENVIVIR SENIOR HEALTH SERVICES
Active
Parent organization
BIENVIVIR SENIOR HEALTH SERVICES
Organization subpart
Yes
Provider details
NPI number
Legal business name
BIENVIVIR SENIOR HEALTH SERVICES
Authorized official
ROSEMARY CASTILLO (CEO)
(915) 562-3444
Entity
Organization
Contact information
Practice address
2300 MCKINLEY AVE, EL PASO, TX 79930-2240
(915) 562-3444
(915) 834-3770
Mailing address
2300 MCKINLEY AVE, EL PASO, TX 79930-2240
(915) 562-3444
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
Primary
23975
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000999817
—
TX
01
—
4536061
OTHER ID NUMBER
—
Enumeration date
10/17/2007
Last updated
06/16/2008
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