| NPI | 1841738580 |
|---|---|
| Other Name | SU CASA ADULT CARE SUPPLY |
| Other Name | SU CASA ADULT TRANSPORTATION SERVICE |
| Entity Type | Organization |
| Authorized Contact | NORMA L MARQUEZ Nursing Director 915-503-5107 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: TX 225232) |
| Additional Taxonomies | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: TX 225232) |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| 343900000X Non-emergency Medical Transport (VAN) | |
| 347C00000X Private Vehicle | |
| Enumeration Date | 2017-02-02 |
| Last Update Date | 2019-05-02 |