Organization
ADAM MC CARE LLC
Active
Other names
Adam MC Care Assisted Living Facility
Organization subpart
No
Provider details
NPI number
Authorized official
ROSA CISNEROS ACCOUNTANT (CONTROLLER)
(915) 540-6865
Entity
Organization
Contact information
Practice address
801 RUSTY BUCKET CT, EL PASO, TX 79932-4007
(915) 540-6865
Mailing address
801 RUSTY BUCKET CT, EL PASO, TX 79932-4007
(915) 540-6865
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
142685
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
142685
—
TX
Enumeration date
05/11/2016
Last updated
05/11/2016
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