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Organization
A&C HOMECARE
Active
Organization
A&C HOMECARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSANA CALDERON (PRESIDENT)
(575) 578-9555
Entity
Organization
Contact information
Practice address
5764 RIDGE DR, SANTA TERESA, NM 88008-9529
(575) 578-9555
(505) 883-3610
Mailing address
5764 RIDGE DR, SANTA TERESA, NM 88008-9529
(575) 578-9555
(505) 883-3610
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
NONE
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
34086510
—
NM
Enumeration date
06/15/2010
Last updated
06/15/2010
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