| NPI | 1376061432 |
|---|---|
| Doing Business As | LA GAVIOTA FOSTER HOME |
| Entity Type | Organization |
| Authorized Contact | MARIA TERESA NAVARRETE CEO 915-355-4091 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home |
| Enumeration Date | 2017-09-08 |
| Last Update Date | 2020-08-17 |