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Organization

CLUB DE ACTIVIDADES SU CASA

Active
Other names
Club De Actividades Su Casa
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. AIDA VARGAS (OWNER)
(915) 256-9191
Entity
Organization

Contact information

Practice address
5003 ALABAMA ST, EL PASO, TX 79930-2615
(915) 566-0800
(915) 566-0801
Mailing address
5003 ALABAMA ST, EL PASO, TX 79930-2615
(915) 566-0800
(915) 566-0801

Taxonomy

Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary

Other

Enumeration date
11/09/2020
Last updated
02/24/2023
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