Organization
ALTA VISTA COMMUNITY CARE SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JOSEFINA ORTIZ RN (ADMINISTRATION)
(915) 594-0098
Entity
Organization
Contact information
Practice address
5959 GATEWAY BLVD W, STE. 365, EL PASO, TX 79925-3331
(915) 594-0098
Mailing address
5959 GATEWAY BLVD W, STE. 365, EL PASO, TX 79925-3331
(915) 594-0098
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
251E000000X
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
209898001
—
TX
Enumeration date
08/19/2008
Last updated
06/02/2015
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