# FRONTIER MEDICAL HOME CARE INC

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

## Provider details

- **NPI number:** 1164459988
- **Authorized official:** MICHAEL D HOLT (ADMINISTRATOR)
- **Authorized official phone:** (505) 627-1112

## Contact information

- **Practice address:** 217 A NORTH MAIN, ROSWELL, NM 88201
- **Practice address phone:** (505) 627-1112
- **Practice address fax:** (505) 627-1113
- **Mailing address:** 217 A NORTH MAIN, ROSWELL, NM 88201
- **Mailing address phone:** (505) 627-1112
- **Mailing address fax:** (505) 627-1113

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | 03003588000 | NM | Yes |

## Other

- **Enumeration date:** 06/27/2006
- **Last updated:** 06/20/2012