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Organization
SENIOR WELLNESS HOMECARE LLC
Active
Organization
SENIOR WELLNESS HOMECARE LLC
Active
Other names
Senior Wellness Homecare
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KATRINA MAYE EUGENIO DIVIDINA RN (OWNER)
(928) 255-3684
Entity
Organization
Contact information
Practice address
1005 21ST ST SE UNIT B1, RIO RANCHO, NM 87124-4030
(505) 359-3586
Mailing address
1380 RIO RANCHO BLVD SE STE 485, RIO RANCHO, NM 87124-1006
(928) 255-3684
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
03/08/2024
Last updated
03/08/2024
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