# OPTIMAL HOME HEALTH CARE LLC

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

## Provider details

- **NPI number:** 1699369223
- **Authorized official:** AUDREA CAMILEE GALLEGOS RN (RN)
- **Authorized official phone:** (719) 580-2083

## Contact information

- **Practice address:** 409 MAIN STREET, ANTONITO, CO 81120
- **Practice address phone:** (719) 580-2083
- **Mailing address:** PO BOX 36, CONEJOS, CO 81129-0036
- **Mailing address phone:** (719) 580-2083

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163WH0200X | Home Health Registered Nurse | — | NULL | Yes |
| 163WH0200X | Home Health Registered Nurse | — | — | Yes |

## Other

- **Enumeration date:** 02/24/2021
- **Last updated:** 02/25/2021