Organization
SU CASA ADULT FOSTER HOME
Active
Parent organization
SU CASA ADULT FOSTER HOME
Other names
Su Casa Adult Care Supply, Su Casa Adult Transportation Service
Organization subpart
Yes
Provider details
NPI number
Legal business name
SU CASA ADULT FOSTER HOME
Authorized official
NORMA L MARQUEZ LVN (NURSING DIRECTOR)
(915) 503-5107
Entity
Organization
Contact information
Practice address
12462 PASEO DE ARCO CT, EL PASO, TX 79928-5669
(915) 208-3163
(915) 503-5825
Mailing address
12462 PASEO DE ARCO CT, EL PASO, TX 79928-5669
(915) 208-3163
(915) 503-5825
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
225232
TX
313M00000X
Nursing Facility/Intermediate Care Facility
225232
TX
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
347C00000X
Private Vehicle
—
—
Other
Enumeration date
02/02/2017
Last updated
05/02/2019
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