# RUTH LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1104002187
- **Authorized official:** MRS. DEBORAH ANN ROARK (FINANCIAL MANAGER)
- **Authorized official phone:** (505) 839-7152

## Contact information

- **Practice address:** 1113 CLEMENTE ST SW, ALBUQUERQUE, NM 87121-8017
- **Practice address phone:** (505) 839-7152
- **Practice address fax:** (505) 839-1241
- **Mailing address:** 1113 CLEMENTE ST SW, ALBUQUERQUE, NM 87121-8017
- **Mailing address phone:** (505) 839-7152
- **Mailing address fax:** (505) 839-1241

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | 79930387 | NM | Yes |

## Other

- **Enumeration date:** 01/21/2008
- **Last updated:** 01/21/2008