Organization
MONTE CRISTO HOME HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL BUSTILLOS DNP (OWNER)
(915) 244-4966
Entity
Organization
Contact information
Practice address
5805 MCNUTT RD STE D, SANTA TERESA, NM 88008-8001
(575) 332-4007
(575) 332-4453
Mailing address
5805 MCNUTT RD STE D, SANTA TERESA, NM 88008-8001
(575) 332-4007
(575) 332-4453
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
06/12/2024
Last updated
09/06/2024
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