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Organization
BLUE HORSESHOE, INC.
Active
Organization
BLUE HORSESHOE, INC.
Active
Other names
Advanced Home Care and Medical Supply
Organization subpart
No
Provider details
NPI number
Authorized official
TRENT NELSON BATES (ADMINISTRATOR)
(505) 627-6256
Entity
Organization
Contact information
Practice address
315 W COUNTRY CLUB RD, ROSWELL, NM 88201-5892
(505) 627-6256
Mailing address
315 W COUNTRY CLUB RD, ROSWELL, NM 88201-5892
(505) 627-6256
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
6632
NM
Other
Enumeration date
06/22/2005
Last updated
08/21/2012
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