Provider Demographics
NPI:1285233171
Name:CENTER AT ZARAGOZA, LLC
Entity Type:Organization
Organization Name:CENTER AT ZARAGOZA, LLC
Other - Org Name:THE CENTER AT ZARAGOZA, LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:MONTE
Authorized Official - Middle Name:
Authorized Official - Last Name:MURDOCK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:719-900-1398
Mailing Address - Street 1:12660 PEBBLE HILLS BLVD
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79938-4886
Mailing Address - Country:US
Mailing Address - Phone:915-990-1700
Mailing Address - Fax:915-900-1750
Practice Address - Street 1:12660 PEBBLE HILLS BLVD
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79938-4886
Practice Address - Country:US
Practice Address - Phone:915-990-1700
Practice Address - Fax:915-990-1750
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-10-21
Last Update Date:2023-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility