Organization
NAZARETH HALL
Active
Other names
Nazareth Living Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JOY MARTINEZ (ADMINISTRATOR/CEO)
(915) 565-4677
Entity
Organization
Contact information
Practice address
1475 RAYNOLDS ST, EL PASO, TX 79903-3122
(915) 565-4677
(915) 565-5118
Mailing address
1475 RAYNOLDS ST, EL PASO, TX 79903-3122
(915) 565-4677
(915) 565-5118
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
123868
TX
332BN1400X
Nursing Facility Supplies (DME)
0099750
TX
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
0099750
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000485901
—
TX
Enumeration date
05/24/2006
Last updated
01/11/2013
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