Organization
RUTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DEBORAH ANN ROARK (FINANCIAL MANAGER)
(505) 839-7152
Entity
Organization
Contact information
Practice address
1113 CLEMENTE ST SW, ALBUQUERQUE, NM 87121-8017
(505) 839-7152
(505) 839-1241
Mailing address
1113 CLEMENTE ST SW, ALBUQUERQUE, NM 87121-8017
(505) 839-7152
(505) 839-1241
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
79930387
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
79930387
—
NM
Enumeration date
01/21/2008
Last updated
01/21/2008
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