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Organization

DECEMBER NINE COMPANY LTD

Active
Other names
PEOPLECARE
Organization subpart
No

Provider details

NPI number
Authorized official
MS. LORI MERAZ (REIMBURSEMENT SPECIALIST)
(915) 843-7773
Entity
Organization

Contact information

Practice address
20 FOUNDERS BLVD, EL PASO, TX 79906-4904
(915) 843-7773
(915) 843-7784
Mailing address
6501 BOEING DR STE G1, EL PASO, TX 79925-1085
(915) 843-7773
(915) 843-7784

Taxonomy

Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
001007525
TX

Other

Enumeration date
10/26/2006
Last updated
02/01/2022
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