# 21ST CENTURY QUALITY HOME CARE NEW MEXICO, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** 21st Century Quality Home Care New Mexico
- **Organization subpart:** No

## Provider details

- **NPI number:** 1609606169
- **Authorized official:** MS. TIEASHA TASHAY JAMES WADDY (ADMINISTRATOR)
- **Authorized official phone:** (832) 308-0776

## Contact information

- **Practice address:** 1209 MOUNTAIN ROAD PL NE STE N, ALBUQUERQUE, NM 87110-7845
- **Practice address phone:** (832) 367-9087
- **Mailing address:** 503 ROSEN AVE, ARCOLA, TX 77583-2752
- **Mailing address phone:** (832) 367-9087

## Taxonomy

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

## Other

- **Enumeration date:** 08/07/2024
- **Last updated:** 08/07/2024