Individual provider · NPI-1
Monica Avalos
Home Health · El Paso, TX
NPI number1366020885
StatusActive
Last updated in NPPESMar 29, 2021
Details
- NPI
- 1366020885
- Entity type
- Individual (NPI-1)
- Name
- Monica Avalos
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Mar 29, 2021
- Certification date
- Mar 29, 2021
- Last updated
- Mar 29, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251E00000X | Home Health | – | – | Yes |
| 253Z00000X | In Home Supportive Care | – | – | |
| 310400000X | Assisted Living Facility | – | – | |
| 343900000X | Non-emergency Medical Transport (VAN) | – | – | |
| 374U00000X | Home Health Aide | – | – |
Practice location
12724 Cozy Creek CtEl Paso, TX 79938
Phone 915-667-0088
Mailing address
12724 Cozy Creek CtEl Paso, TX 79938
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