Organization · NPI-2

Bernardo Terress The Eternal Youth Home

Assisted Living Facility · El Paso, TX

NPI number1225599590
StatusActive
Last updated in NPPESMar 28, 2019

Details

NPI
1225599590
Entity type
Organization (NPI-2)
Legal business name
Bernardo Terress The Eternal Youth Home
Organization subpart
No
Enumeration date
Mar 28, 2019
Last updated
Mar 28, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
310400000X Assisted Living Facility––Yes

Practice location

2218 Mermaid Dr
El Paso, TX 79936-3621

Phone 915-249-6079 · Fax 915-633-1994

Mailing address

2218 Mermaid Dr
El Paso, TX 79936-3621

Phone 915-249-6079 · Fax 915-633-1994

Authorized official

Bernardo Terres
Owner
9152496079

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