Penan Partnership

NPI #1063419323 in El Paso, Texas

Provider Information

NPI Number
1063419323
Entity Type
Organization
Organization Name
Penan Partnership
Primary Specialty
Skilled Nursing Facility
Enumeration Date
Jul 1, 2005
Last Updated
Apr 25, 2012

Practice Location

Address
11608 SCOTT SIMPSON DR
State
Texas
ZIP Code
79936-6210
Phone
(915) 857-0071

Authorized Official

Name
MICHAEL PERKINS, LNFA
Title
ADMINISTRATOR
Phone
(915) 857-0071

Specialties & Taxonomy Codes

Specialty
Skilled Nursing Facility

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