# FOUR BEARS, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Four Bears Home Care, LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1447988399
- **Authorized official:** MATTHEW NATHAN RAY (FOUNDER & CEO)
- **Authorized official phone:** (505) 208-0782

## Contact information

- **Practice address:** 2425 DESERT VIEW RD NE, RIO RANCHO, NM 87144-2636
- **Practice address phone:** (575) 420-9562
- **Mailing address:** 2425 DESERT VIEW RD NE, RIO RANCHO, NM 87144-2636
- **Mailing address phone:** (575) 420-9562

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 08/09/2022
- **Last updated:** 08/09/2022