NPI 1063993244
Assisted Living
Practice location
- Address
- 11065 Tom Weiskopf Dr, El Paso, TX 79936
- Phone
- (915) 694-6886
- Mailing address
- 11065 Tom Weiskopf Dr, El Paso, TX 79936-3519
Authorised official
- Name
- Minerva Sustaita
- Title
- Owner
- Phone
- (915) 519-5735
Registered specialties (2)
Assisted Living Facility
Primary
Meals Provider
Registry record
- NPI
- 1063993244
- Entity type
- Organization
- NPI issued
- 24 Aug 2018
- Record last updated
- 26 Aug 2018
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.