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Juan Carlos Diaz
Adult Care Home Facility in El Paso, Texas
NPI 1992498513

Juan Carlos Diaz is an Adult Care Home Facility based in El Paso, TX and is specialized in Adult Care Home. Juan Carlos Diaz practices in El Paso, TX. The NPI Number for Juan Carlos Diaz is 1992498513 and holds a License No. LHOC23-00038 (Texas).

The current practice location address for Juan Carlos Diaz is 3152 Blue Dirt Cir, El Paso, TX and can be reached out via phone at 915-922-0313.

Location: 3152 Blue Dirt Cir, El Paso, TX, 79938-2506
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1992498513
Provider Name
Juan Carlos Diaz
Credential
Provider Entity Type
Individual
Gender
Male
Address
3152 Blue Dirt Cir, El Paso, TX, 79938-2506
Phone Number
915-922-0313
Fax Number
Provider Enumeration Date
05/30/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3152 Blue Dirt Cir
City
El Paso
State
Texas
Zip
79938-2506
Phone Number
915-922-0313
Fax Number
person
Provider Business Mailing Address Details
Address
3152 Blue Dirt Cir
City
El Paso
State
Texas
Zip
79938-2506
Phone Number
915-922-0313
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Custodial Care Facility
Speciality
Adult Care Home
Taxonomy
311ZA0620X
License No.
LHOC23-00038 (Texas)
Definition
A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.
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