# CASA DE CAMBIO LLC

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

## Provider details

- **NPI number:** 1861220485
- **Authorized official:** MICHELLE HERRON (BILLER)
- **Authorized official phone:** (505) 430-0777

## Contact information

- **Practice address:** 204 MEZCAL CIR NW, ALBUQUERQUE, NM 87105-1825
- **Practice address phone:** (505) 363-1348
- **Practice address fax:** (505) 514-0732
- **Mailing address:** PO BOX 12241, ALBUQUERQUE, NM 87195-0241
- **Mailing address phone:** (505) 363-1348
- **Mailing address fax:** (505) 514-0732

## Taxonomy

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

## Other

- **Enumeration date:** 07/24/2024
- **Last updated:** 12/20/2024