Leticia A Basurto
Custodial Care Facility, Adult Care Home in El Paso, TX. Individual provider (NPI-1).
NPI number1811031578
StatusActive
Last updated in NPPESApr 25, 2019
Details
- NPI
- 1811031578
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Leticia A Basurto
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Feb 16, 2007
- Last updated
- Apr 25, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 311ZA0620X | Custodial Care Facility, Adult Care Home | 148631 | TX | Yes |
Practice location
5709 Lexington DrEl Paso, TX 79924-7410
Phone 915-751-4983
Mailing address
5709 Lexington DrEl Paso, TX 79924-7410
Phone 915-740-2687
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