Provider Demographics
NPI:1598294985
Name:ANCHONDO, BLANCA LUZ
Entity Type:Individual
Prefix:
First Name:BLANCA
Middle Name:LUZ
Last Name:ANCHONDO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9009 TURRENTINE DR
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79925-5931
Mailing Address - Country:US
Mailing Address - Phone:915-433-8134
Mailing Address - Fax:
Practice Address - Street 1:9009 TURRENTINE DR
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79925-5931
Practice Address - Country:US
Practice Address - Phone:915-433-8134
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-06-08
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes311ZA0620XNursing & Custodial Care FacilitiesCustodial Care FacilityAdult Care Home