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Organization
ROOSEVELT COUNTY SPECIAL HOSPITAL DISTRICT
Active
Organization
ROOSEVELT COUNTY SPECIAL HOSPITAL DISTRICT
Active
Other names
Roosevelt General Hospital Home Health
Organization subpart
No
Provider details
NPI number
Authorized official
GARY PARTIN (DIRECTOR)
(505) 226-4663
Entity
Organization
Contact information
Practice address
1412 SOUTH AVENUE O, SUITE B, PORTALES, NM 88130-7091
(505) 226-4663
(505) 226-4664
Mailing address
PO BOX 868, PORTALES, NM 88130-0868
(505) 226-4663
(505) 226-4664
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
3178
NM
Other
Enumeration date
09/07/2007
Last updated
12/20/2007
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