| NPI | 1396394557 |
|---|---|
| Doing Business As | SU CASA ADULT FOSTER HOME #3 |
| Entity Type | Organization |
| Authorized Contact | NORMA L. MARQUEZ Director/Nurse 915-208-3163 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility Adult Care Home |
| Additional Taxonomies | 315P00000X Intermediate Care Facility, Mentally Retarded |
| 320700000X Residential Treatment Facility, Physical Disabilities | |
| 347C00000X Private Vehicle | |
| Enumeration Date | 2019-09-10 |
| Last Update Date | 2023-04-20 |