Organization
SPECIAL CARE AT HOME, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KATHERINE BENALLY (BOARD PRESIDENT)
(505) 726-2890
Entity
Organization
Contact information
Practice address
1020 WEST MALONEY, SUITE B, GALLUP, NM 87301
(505) 726-2890
(505) 722-8941
Mailing address
PO BOX 4554, YATAHEY, NM 87375
(505) 726-2890
(505) 722-8941
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
06/23/2009
Last updated
06/23/2009
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