Healthcare Provider Details

I. General information

NPI: 1144658428
Provider Name (Legal Business Name): BNCFRANCO, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/23/2013
Last Update Date: 10/23/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

935 PENDALE RD
EL PASO TX
79907-1721
US

IV. Provider business mailing address

935 PENDALE RD
EL PASO TX
79907-1721
US

V. Phone/Fax

Practice location:
  • Phone: 915-592-8000
  • Fax: 915-592-8004
Mailing address:
  • Phone: 915-592-8000
  • Fax: 915-592-8004

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code320600000X
TaxonomyIntellectual and/or Developmental Disabilities Residential Treatment Facility
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number
License Number State

VIII. Authorized Official

Name: BELEN FRANCO
Title or Position: PRESIDENT/CEO
Credential:
Phone: 915-592-8000