# PHC-LAS CRUCES INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Memorial Home Health
- **Organization subpart:** No

## Provider details

- **NPI number:** 1316016769
- **Authorized official:** TERRANCE DILLON (ASSISTANT SECRETARY)
- **Authorized official phone:** (502) 596-7220

## Contact information

- **Practice address:** 1705 E UNIVERSITY AVE, SUITE A, LAS CRUCES, NM 88001-5780
- **Practice address phone:** (575) 556-6500
- **Practice address fax:** (575) 522-4168
- **Mailing address:** 330 SEVEN SPRINGS WAY, BRENTWOOD, TN 37027-4536
- **Mailing address phone:** (615) 920-7000
- **Mailing address fax:** (615) 920-8913

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | 3172 | NM | Yes |

## Other

- **Enumeration date:** 11/07/2006
- **Last updated:** 04/26/2022