Organization
RUIDOSO HOME CARE, LLC
Active
Other names
Ruidoso Home Care & Hospice
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JENNIFER ANN CHADWICK RN (ADMINISTRATOR/OWNER)
(575) 258-0028
Entity
Organization
Contact information
Practice address
590 GAVILAN CANYON RD, RUIDOSO, NM 88345-6080
(575) 258-0028
(575) 258-2648
Mailing address
PO BOX 2019, RUIDOSO, NM 88355-2019
(575) 258-0028
(575) 258-2648
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
3024
NM
251G00000X
Community Based Hospice Care Agency
3096
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
83708235
—
NM
05
—
A5162
—
NM
Enumeration date
05/26/2006
Last updated
02/26/2010
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