# BLUE HORSESHOE, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Advanced Home Care and Medical Supply
- **Organization subpart:** No

## Provider details

- **NPI number:** 1275539504
- **Authorized official:** TRENT NELSON BATES (ADMINISTRATOR)
- **Authorized official phone:** (505) 627-6256

## Contact information

- **Practice address:** 315 W COUNTRY CLUB RD, ROSWELL, NM 88201-5892
- **Practice address phone:** (505) 627-6256
- **Mailing address:** 315 W COUNTRY CLUB RD, ROSWELL, NM 88201-5892
- **Mailing address phone:** (505) 627-6256

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | 6632 | NM | Yes |

## Other

- **Enumeration date:** 06/22/2005
- **Last updated:** 08/21/2012