Provider Demographics
NPI:1992482525
Name:LILAC HOSPICE OF EL PASO
Entity type:Organization
Organization Name:LILAC HOSPICE OF EL PASO
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF NURSING/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JUANITA
Authorized Official - Middle Name:
Authorized Official - Last Name:ALVAREZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:915-799-7662
Mailing Address - Street 1:248 CHANTICLEER PLACE
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79915-4609
Mailing Address - Country:US
Mailing Address - Phone:915-799-7662
Mailing Address - Fax:
Practice Address - Street 1:248 CHANTICLEER PLACE
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79915-4609
Practice Address - Country:US
Practice Address - Phone:915-799-7662
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-07-05
Last Update Date:2023-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based