Provider Demographics
NPI:1275721425
Name:SOL DEL DESIERTO HOME HEALTH
Entity Type:Organization
Organization Name:SOL DEL DESIERTO HOME HEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:PALOMA
Authorized Official - Middle Name:
Authorized Official - Last Name:VALENZUELA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:915-307-1000
Mailing Address - Street 1:1449 SALLY RAY WAY
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79936-7006
Mailing Address - Country:US
Mailing Address - Phone:915-307-1000
Mailing Address - Fax:915-921-6519
Practice Address - Street 1:1449 SALLY RAY WAY
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79936-7006
Practice Address - Country:US
Practice Address - Phone:915-307-1000
Practice Address - Fax:915-921-6519
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-11
Last Update Date:2007-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health