Organization
J SQUARED, INC.
Active
Other names
Mountain Villa Nursing Center
Organization subpart
No
Provider details
NPI number
Authorized official
DONOVAN J RIVERA (ADMINISTRATOR)
(915) 566-2111
Entity
Organization
Contact information
Practice address
2729 PORTER AVE, EL PASO, TX 79930-3625
(915) 566-2111
(915) 562-6611
Mailing address
11913 PASEO DORADO CIR, EL PASO, TX 79936-3785
(915) 566-2111
(866) 838-4666
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
118223
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000538001
—
TX
Enumeration date
02/20/2007
Last updated
04/16/2025
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