Organization
GREEN MOUNTAIN HEALTHCARE SERVICES LLC
Active
Organization
GREEN MOUNTAIN HEALTHCARE SERVICES LLC
Active
Other names
Green Mountain Palliative Care
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERTO FLORES (CEO)
(915) 500-4883
Entity
Organization
Contact information
Practice address
2311 N MESA ST STE H, EL PASO, TX 79902-3575
(915) 500-4883
(915) 275-5510
Mailing address
2311 N MESA ST STE H, EL PASO, TX 79902-3575
(915) 500-4883
(915) 275-5510
Taxonomy
Speciality
Code
Description
License number
State
207PH0002X
Hospice and Palliative Medicine (Emergency Medicine) Physician
—
—
207Q00000X
Family Medicine Physician
—
—
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
—
—
251E00000X
Home Health Agency
—
—
251G00000X
Community Based Hospice Care Agency
Primary
—
TX
Other
Enumeration date
05/08/2017
Last updated
04/28/2025
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