Healthcare Provider Details

I. General information

NPI: 1851414940
Provider Name (Legal Business Name): MARGARITA CASTANON FOSTER HOME CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/06/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8712 MAGNETIC ST
EL PASO TX
79904-1720
US

IV. Provider business mailing address

8712 MAGNETIC ST
EL PASO TX
79904-1720
US

V. Phone/Fax

Practice location:
  • Phone: 915-755-1067
  • Fax:
Mailing address:
  • Phone: 915-755-1061
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171W00000X
TaxonomyContractor
License Number119820
License Number StateTX

VIII. Authorized Official

Name: MRS. MARGARITA CASTANON
Title or Position: OWNER
Credential:
Phone: 915-755-1061