# COORDINATED SKILLED CARE, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Coordinated Home Health Skilled Care
- **Organization subpart:** No

## Provider details

- **NPI number:** 1164652426
- **Authorized official:** PHILIP DOHERTY (CEO)
- **Authorized official phone:** (575) 541-4201

## Contact information

- **Practice address:** 205 W BOUTZ RD, BUILDING 6, LAS CRUCES, NM 88005-3262
- **Practice address phone:** (505) 523-8885
- **Practice address fax:** (505) 525-3137
- **Mailing address:** 205 W BOUTZ RD, BUILDING 6, LAS CRUCES, NM 88005-3262
- **Mailing address phone:** (505) 523-8885
- **Mailing address fax:** (505) 525-3137

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 07/21/2009
- **Last updated:** 07/21/2009