# SOUTHWEST HOME CARE, LLC

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

## Provider details

- **NPI number:** 1780025007
- **Authorized official:** MRS. LAKEITHA C BURTON (REVENUE CYCLE MANAGER)
- **Authorized official phone:** (505) 539-5290

## Contact information

- **Practice address:** 920 E SANTA FE AVE, GRANTS, NM 87020-2436
- **Practice address phone:** (505) 287-7472
- **Practice address fax:** (505) 287-7473
- **Mailing address:** 920 E SANTA FE AVE, GRANTS, NM 87020-2436
- **Mailing address phone:** (505) 287-7472
- **Mailing address fax:** (505) 287-7473

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | 03-191409-00-8 | NM | Yes |

## Other

- **Enumeration date:** 07/15/2013
- **Last updated:** 10/11/2022