Organization
SACRED SPIRITS HOME HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TRACY JARAMILLO RN (HEALTH SERVICES ADMIN)
(505) 240-3711
Entity
Organization
Contact information
Practice address
40 OLD LOOP, CONTINENTAL DIVIDE, NM 87312-0145
(505) 240-3711
Mailing address
PO BOX 145, CONTINENTAL DIVIDE, NM 87312-0145
(505) 240-3711
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
R46467
NM
Other
Enumeration date
08/11/2015
Last updated
08/11/2015
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