Organization
MI CASA HOME HEALTH CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. RACQUEL GURULE (CEO)
(505) 205-1047
Entity
Organization
Contact information
Practice address
9301 INDIAN SCHOOL RD NE, SUITE 208-C, ALBUQUERQUE, NM 87112-2884
(505) 205-1047
(505) 962-2341
Mailing address
9301 INDIAN SCHOOL RD NE, SUITE 208-C, ALBUQUERQUE, NM 87112-2884
(505) 205-1047
(505) 962-2341
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
12/30/2011
Last updated
12/30/2011
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