# EBEN-EZER HOME CARE LLC

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

## Provider details

- **NPI number:** 1255631933
- **Authorized official:** ANGELES M DEAN (ADMINISTRATOR)
- **Authorized official phone:** (575) 824-5320

## Contact information

- **Practice address:** 524 PALOMA BLANCA DR, CHAPARRAL, NM 88081-7821
- **Practice address phone:** (575) 824-5320
- **Mailing address:** 524 PALOMA BLANCA DR, CHAPARRAL, NM 88081-7821
- **Mailing address phone:** (575) 824-5320

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | 012713 | TX | — |
| 251E00000X | Home Health Agency | 33853312 | NM | Yes |

## Other

- **Enumeration date:** 10/27/2010
- **Last updated:** 10/29/2010