Shady Shores of El Paso, LLC

NPI #1922466499 in El Paso, Texas

Provider Information

NPI Number
1922466499
Entity Type
Organization
Organization Name
Shady Shores of El Paso, LLC
Primary Specialty
Skilled Nursing Facility
Enumeration Date
Jan 29, 2016
Last Updated
Jan 29, 2016

Practice Location

Address
1600 MURCHISON DR
State
Texas
ZIP Code
79902-2828
Phone
(915) 544-2002

Authorized Official

Name
MICHAEL WALLACE
Title
CEO
Phone
(214) 422-1622

Specialties & Taxonomy Codes

Specialty
Skilled Nursing Facility

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