Type 2 organization · NPI 1003682915
MY GRANDMA'S HOUSE
311ZA0620X · EL PASO, TX
Why this profile is appearing now
Observed change signals
No current public change signal is attached to this profile.
Reported classification
Taxonomies
| Code | Description | Source flag |
|---|---|---|
| 311ZA0620X | 311ZA0620X | Primary |
| 372600000X | 372600000X | Additional |
Taxonomy reporting does not establish licensure, board certification, expertise, or quality.
Longitudinal record
Observed change timeline
- 0 recorded field change s