Organization
CECILIA TERRES ETERNAL YOUTH HOME 2
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CECILIA TERRES (OWNER)
(915) 921-6752
Entity
Organization
Contact information
Practice address
11651 CLEAR LAKE WAY, EL PASO, TX 79936-4382
(915) 921-6752
(915) 633-1994
Mailing address
11651 CLEAR LAKE WAY, EL PASO, TX 79936-4382
(915) 921-6752
(915) 633-1994
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
03/28/2019
Last updated
03/28/2019
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