Organization
KECK ENTERPRISES, LLC
Active
Other names
Roadrunner Healthcare
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER KECK (MANAGER)
(505) 321-7295
Entity
Organization
Contact information
Practice address
8300 CARMEL AVE NE STE 401, ALBUQUERQUE, NM 87122-3147
(505) 321-4819
(505) 898-3630
Mailing address
PO BOX 2046, CORRALES, NM 87048-2046
(505) 321-4819
(505) 898-3630
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
3586
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3586
STATE OF NEW MEXICO
NM
Enumeration date
11/30/2017
Last updated
06/21/2024
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