# ALLEGIANCE PREMIER HOME HEALTHCARE PROVIDERS

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1649757030
- **Authorized official:** MRS. AMBER DAWN GURULE RN (RN-OWNER)
- **Authorized official phone:** (505) 870-3271

## Contact information

- **Practice address:** 639 VISTA ESTE NE, RIO RANCHO, NM 87124-4783
- **Practice address phone:** (505) 870-3271
- **Practice address fax:** (877) 349-7961
- **Mailing address:** PO BOX 44187, RIO RANCHO, NM 87174-4187
- **Mailing address phone:** (505) 870-3271
- **Mailing address fax:** (877) 349-7961

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | 3409 | NM | Yes |

## Other

- **Enumeration date:** 07/27/2018
- **Last updated:** 07/27/2018