Organization
MAHARLIKA DYNASTY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DONOVAN J RIVERA (MANAGING MEMBER)
(915) 227-9172
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) 227-9172
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
04/23/2010
Last updated
04/23/2010
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