Organization
CASA DE BELLAMIE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARIA LILLIAN JACQUEZ (PRESIDENT)
(915) 775-1965
Entity
Organization
Contact information
Practice address
7235 N LOOP DR, EL PASO, TX 79915-2412
(915) 775-1965
(915) 775-1965
Mailing address
7235 N. LOOP DR., EL PASO, TX 79915
(915) 775-1965
(915) 775-1965
Taxonomy
Speciality
Code
Description
License number
State
320700000X
Physical Disabilities Residential Treatment Facility
Primary
143878
TX
Other
Enumeration date
07/20/2016
Last updated
07/20/2016
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