Organization
EL PASO IV ENTERPRISES, LLC
Active
Other names
St Giles Nursing and Rehabilitation Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GARY BLAKE (MANAGING MEMBER)
(817) 348-8959
Entity
Organization
Contact information
Practice address
950 CAMINO DEL REY DRIVE, EL PASO, TX 79927-4288
(915) 859-3010
(915) 859-3057
Mailing address
4150 INTERNATIONAL PLAZA, SUITE 600, FORT WORTH, TX 76109-4831
(817) 348-8959
(817) 348-0466
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
04/26/2018
Last updated
05/03/2022
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