# SHILOH HOME HEALTH INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Shiloh Home Health
- **Organization subpart:** No

## Provider details

- **NPI number:** 1043615925
- **Authorized official:** MRS. SARA L GONZALES R.N.,ADMINISTRATOR, (OWNER, ADMINISTRATOR, R.N.)
- **Authorized official phone:** (505) 436-3350

## Contact information

- **Practice address:** 4301 LARGO ST STE A, FARMINGTON, NM 87402-8629
- **Practice address phone:** (505) 436-3350
- **Practice address fax:** (505) 213-1523
- **Mailing address:** 4301 LARGO ST STE A, FARMINGTON, NM 87402-8629
- **Mailing address phone:** (505) 436-3350
- **Mailing address fax:** (505) 213-1523

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | R52598 | NM | Yes |

## Other

- **Enumeration date:** 11/04/2014
- **Last updated:** 11/04/2014