Organization
SHILOH HOME HEALTH INC
Active
Other names
Shiloh Home Health
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SARA L GONZALES R.N.,ADMINISTRATOR, (OWNER, ADMINISTRATOR, R.N.)
(505) 436-3350
Entity
Organization
Contact information
Practice address
4301 LARGO ST STE A, FARMINGTON, NM 87402-8629
(505) 436-3350
(505) 213-1523
Mailing address
4301 LARGO ST STE A, FARMINGTON, NM 87402-8629
(505) 436-3350
(505) 213-1523
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
R52598
NM
Other
Enumeration date
11/04/2014
Last updated
11/04/2014
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