Provider Demographics
NPI:1801460951
Name:ARAUJO, BLANCA ALICIA
Entity type:Individual
Prefix:
First Name:BLANCA
Middle Name:ALICIA
Last Name:ARAUJO
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 1:900 N CLARK DR
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79905-2127
Mailing Address - Country:US
Mailing Address - Phone:915-667-9161
Mailing Address - Fax:
Practice Address - Street 1:900 N CLARK DR
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79905-2127
Practice Address - Country:US
Practice Address - Phone:915-915-6679
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-05-13
Last Update Date:2021-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility