LA GRAN VIDA LLC

EL PASO, TX
NPI1710805106
Entity TypeOrganization
Authorized ContactMICHAEL TED WIRZ
Program Director
915-253-9583
Organization Subpart ?No
Primary Taxonomy261QA0600X Clinic/Center, Adult Day Care
Enumeration Date2026-07-06
Last Update Date2026-07-06
Business Address
LA GRAN VIDA LLC
8825 N LOOP DR STE 119
EL PASO, TX 79907-4606
Phone number: 915-253-9583
Mailing Address
LA GRAN VIDA LLC
8825 N LOOP DR STE 119
EL PASO, TX 79907-4606
Phone number: 915-253-9583
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