Organization
CANINE FRIENDLY COALITION, INC
Active
Other names
Desert Star Home Health
Organization subpart
No
Provider details
NPI number
Authorized official
MIGUEL VILLANUEVA (CEO)
(915) 307-0719
Entity
Organization
Contact information
Practice address
1119 MONTANA AVE, EL PASO, TX 79902-5509
(915) 566-0999
(915) 566-0984
Mailing address
1119 MONTANA AVE, EL PASO, TX 79902-5509
(915) 566-0999
(915) 566-0984
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
74-7761
CMS CCN
TX
Enumeration date
08/19/2011
Last updated
01/16/2026
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